REGISTRATION (47)    PACKAGE (9.4)

See National Patch module entry for DG*5.3*77 for detailed information on
the contents of this patch.

See NPM for description of patch.

See National Patch Module 
 
 
 
 
Add Location and Room Bed to Admission Alert.

Post patch 91 fixes

Patch DG*5.3*172, which is included in the Clinical Information Resource
     991.07     SCORE CALCULATION DATE
     Pseudo-SSN Report
     Eligibility Code Files Report
     Marital Status File - Map Non-Standard Entries
     Religion File - Map Non-Standard Entries
     Begin Religion/Marital Status Conversion
     Stop Religion/Marital Status Conversion
     CIRN Master of Record Menu ...
  
The following options will be deleted after the conversion is completed.
     Marital Status File - Map Non-Standard Entries
  
     Religion File - Map Non-Standard Entries
     Begin Religion/Marital Status Conversion
     Stop Religion/Marital Status Conversion
These fields facilitate the functionality of the CIRN software utility,
Start/Restart CMOR Score Calculation [RGCIRN CMOR START] option, which
calculates a metric used for determining the CIRN Master of Record (CMOR)
site. This metric is based on patient activity at the site for the present
Fiscal Year (FY) plus the prior two FYs. In essence, the software reviews
indicators of patient activity and assigns points for activity. The result
is a standard measurement that the system can utilize in determining the
CMOR site for each patient.
Network (CIRN) Pre-implementation software Version 0.5 release, contains
  
Second, the patch delivers the utilities related to the MARITAL STATUS
file (#11) and RELIGION file (#13) clean-up during the implementation
phase. The utilities (1) analyze the MARITAL STATUS and RELIGION files for
non-standard entries, (2) allow the user to specify, for each non-standard
entry, which standard entry should be mapped with associated patients,
(3) actually re-point the associated patients to the standard entries,
(4) delete the non-standard entries after re-pointing, and (5) delete the
files, templates, and user options after the clean-up process has been
completed. A description of the MARITAL STATUS and RELIGION files clean-up
two components.
follows.
  
Analysis Step:
When the patch is first installed, an analysis step is automatically run.
This analysis step reviews all files and fields on the local system that
point to the MARITAL STATUS and RELIGION files. The resultant analysis
data is then stored in a temporary file, the MARITAL/RELIGION CONVERSION
file (# 390.1), for later processing. See the conversion step for more
information on this later process.
  
  
The second part of the analysis reviews the MARITAL STATUS and RELIGION
files. It adds standard entries to these files that are missing and
searches for non-standard entries. This analysis data is also stored in a
temporary file, the MARITAL/RELIGION MAPPING file (# 390.2), for later
processing. See the mapping step for more information on this later
process.
  
Mapping Step:
Any non-standard entries found during the analysis step must be mapped to
a valid standard entry. This information is used during the conversion
First, the patch provides a partial Data Dictionary (DD) update that adds
step to map patients who are associated with the non-standard entries.
There are two menu options in the CIRN Pre-Implementation Menu [RGPR
PRE-IMP MENU] for mapping these entries.
  
     Marital Status File - Map Non-Standard Entries
          [DG172 PRE-IMP MAR STAT MAP]
     Religion File - Map Non-Standard Entries
          [DG172 PRE-IMP RELIGION MAP]
  
The mapping data designated by the user is then stored in File #390.2.
two new fields to the PATIENT file (#2). These new fields are listed
  
Conversion Step:
After the mapping of non-standard entries is complete, a conversion
process is run which re-points non-standard entries to the designated
standard entries. The options, also in the CIRN Pre-Implementation Menu,
to begin and stop the conversion process are listed below.
  
     Begin Religion/Marital Status Conversion
          [DG172 PRE-IMP START CONVERSION]
     Stop Religion/Marital Status Conversion
below.
          [DG172 PRE-IMP STOP CONVERSION]
  
The conversion process will update each file/field that points to the
MARITAL STATUS and RELIGION files based on the analysis data stored in
File #390.1.
  
As the conversion process is running, the progress is stored in two files.
The first File # 390.1 stores the last entry processed for each file/field
that needs to be converted. As each file/field is converted, it is flagged
as finished.
  
  
The second File #390.2 stores the number of times a non-standard entry was
found and converted across all files/fields.
  
After the conversion process is complete, an e-mail message is generated
and delivered to the user of the Begin Religion/Marital Status Conversion
option. The message reports the number of conversions that took place for
each non-standard entry.
  
Un-Install Step:
     991.06     CMOR ACTIVITY SCORE
After the conversion is finished, the two temporary files, File #390.1 and
File #390.2, are deleted along with the non-standard entries from the
MARITAL STATUS and RELIGION files. Associated templates and menu options
are also deleted.
  
The complete CIRN Pre-Implementation Menu, prior to conversion, is listed
below.
  
Select CIRN Pre-Implementation Menu Option:
  

See National Patch Module

This build is part of the overall patch SD*5.3*149, and provides the
capability to capture GAF scores as part of the Census record and a call
to send GAF data to the Mental Health package from the scan forms.

SEE NATIONAL PATCH MODULE FOR DESCRIPTION

See National Patch Module

See National Patch Module for description of changes included in this
patch.

This patch will change the POST-KOREAN END DATE (#.05) and BRIEF  
DESCRIPTION (#20) fields in the PERIOD OF SERVICE (#21) file to
prevent overlapping with VIETNAM ERA period of service.
 
The END DATE (#.05) field will be changed from 8/4/1964 to 2/27/1961
and the BRIEF DESCRIPTION (#20) field will be changed to 2/1/55-2/27/61.

See National Patch Module.

The changes included in this patch are described in the description
of patch DG*5.3*175 in the National Patch Module.

This patch updates the PTF CENSUS DATE File (#45.86) for the first
 CLOSEOUT DATE: JAN 15, 1999
 OK TO XMIT PTF TRANSACTIONS: MAR 31, 1997
 CURRENTLY ACTIVE?: YES                
 CENSUS PERIOD START DATE: OCT 01, 1998
quarter of FY 1999 (10/1/1998-12/31/1998).  The closeout date for this
census is 1/15/1999.
 
The DATE(#.01), CLOSEOUT DATE (#.02), OK TO XMIT PTF TRANSACTIONS (#.03),
CURRENTLY ACTIVE?(#.04), and CENSUS PERIOD  START DATE (#.05) fields in
the PTF CENSUS DATE file (#45.86)  will be updated as follows:
 
 DATE: DEC 31, 1998                      

1999 Means Test Threshold update patch.  See National Patch Module for
further details.

See National Patch Module for description.

NPCDB patient demographics extraction

SEE NATIONAL PATCH MODULE

SEE NATIONAL PATCH MODULE

ACRP transmission segment issues

SEE NATIONAL PATCH MODULE

ADT/R Portion of PCMM - DG*5.3*84

See National Patch Module on FORUM for a description of the contents of
this patch.

The changes included in this patch are described in the description
of patch DG*5.3*177 in the National Patch Module.

Patient Survey for Dr Steinhauser.

2nd QTR FY99 PTF Census patch.

The changes included in this patch are described in the description
of patch DG*5.3*222 in the National Patch Module.

   It prevents the duplication of the pseudo WHILE ASIH discharge. In a
   test environment changing a TRANSFER TO ASIH(OTHER FACILITY) to a
   TRANSFER TO ASIH incorrectly created a duplicate WHILE ASIH discharge.
   The effect of this extra discharge would be reflected in the Bed Status
   Report. This patch prevents the duplication from occuring.

See National Patch Module.

Fix to PD1 segment builder to prevent PC provider = -1 from being sent
to Austin.

For a complete description, refer to the FORUM Patch Module
for patch DG*5.3*149.

The changes included in this patch are described in the description of
patch DG*5.3*230 in the National Patch Module.

This is the quarterly update patch for FY 96, quarter 2.  The changes
included in this patch are described in the description of patch DG*5.3*78
in the National Patch Module.

This patch updates the PTF CENSUS DATE File (#45.86) for the  third
permanent routines so it may be loaded out of  sequence, if necessary, to
meet the 6/30/1999 date.
quarter of FY 1999 (4/1/1999-6/30/1999).  The closeout  date for this
census is 7/16/1999.
 
This patch addresses the Quarterly Census issue discussed in VHA
Directive 98-056.
 
This patch may be installed at anytime, however, it must be installed
before 6/30/1999.  This patch does not affect any  options or any

VHA Directive 98-058, "Sexual Trauma Counseling Care and Services"
requires that VHA provide care and counseling to veterans determined to
have been a victim of sexual trauma while the veteran was serving on
active duty.  This patch will focus on the data collection for this
directive.

Addresses SHARING AGREEMENT SUBCATEGORY ISSUES raised in NOISes
SYR-0698-11882 and ALB-1298-52122. Allows the editing of the Subcategory
name, and screens subcategory selection by whether it is active.

 Patch DG*5.3*149 added new cross references to a number of fields
      .05    MARITAL STATUS
      .08    RELIGIOUS PREFERENCE
      .09    SOCIAL SECURITY NUMBER
      .111   STREET ADDRESS [LINE 1]
      .1112  ZIP+4
      .112   STREET ADDRESS [LINE 2]
      .113   STREET ADDRESS [LINE 3]
      .114   CITY
      .115   STATE
      .117   COUNTY
 from the PATIENT file (#2). Clinical Information Resource Network
      .131   PHONE NUMBER [RESIDENCE]
      .132   PHONE NUMBER [WORK]
      .211   K-NAME OF PRIMARY NOK
      .219   K-PHONE NUMBER
      .2403  MOTHER'S MAIDEN NAME
      .301   SERVICE CONNECTED?
      .302   SERVICE CONNECTED PERCENTAGE
      .31115 EMPLOYMENT STATUS
      .323   PERIOD OF SERVICE
      .351   DATE OF DEATH
 (CIRN) needs to monitor changes made to these fields.  This patch
   391       TYPE
  1901       VETERAN
  
 The post-install routine DG53231P is invoked to re-compile all Print
 Templates and Input Templates for the affected fields. 
 turns audit ON for a number of fields in the PATIENT file. 
  
 The following is a list of fields in the PATIENT file for which 
 auditing is turned on: 
      .02    SEX
      .03    DATE OF BIRTH

 
This KIDS build installs the routine DG53233P which activates the
ENROLLMENT QUERY ACTIVE (#15) field of the IVM SITE PARAMETER (#301.9).
 
It also includes a change to the description to correct a spelling mistake
in the Data Dictionary for the IVM SITE PARAMETER (#301.9) file.

New routine (DGMTARR) creates and prints 3 new Means Test reports.  The
'Report for Specific Income Amount' .  This report uses input from the
user to define a dollar range and date range, and prints veterans whose
income falls between the dollar range and date range.    The 'Report of
income range Less than Threshold' will print veterans whose income is
within the selected range less than the Threshold amount.  The last
report, 'Report of Same Income', shows veterans who reported the identical
income value for all 10 income fields.

See the National Patch Module for a complete description of this patch.

E3R 12006 notes that the terms "Primary Care Physician" and "Primary Care
 
No routines are included.
Provider" are used in ways that may be confusing. The Primary Care
Provider for the PCMM package is different from the Inpatient Primary Care
Provider.  For purposes of clarity, in the PATIENT MOVEMENT file (#405),
the field name of field #.08 has been changed from PRIMARY CARE PHYSICIAN
to PRIMARY PHYSICIAN.
 
The Data Dictionary for this field is included, as is the DGPM SPECIALTY
TRANSFER input template, to accommodate this change.

This patch updates the PTF CENSUS DATE File (#45.86) for the fourth
quarter of FY 1999 (7/1/99 - 9/30/1999).  The closeout date for this
census is 10/15/99.
 
This patch addresses the Quarterly Census issue discussed in VHA
Directive 98-056.

This patch corrects a problem reported when entering breakeven days for
multiple DRGs using the Enter Breakeven Days, [DG PTF BREAK EVEN ENTER],
option.
 
It was also discovered that this option will not accept fiscal years after
1999.

See NPM for description.

Income Inconsistency for SC veterans 50-100%.

This patch will prevent a user from accessing or creating their own
Patient (#2) file entry if the Restrict Patient Record Access (#1201) in
the MAS Parameters (#43) file is set to yes and the user does not hold
the DG RECORD ACCESS security key. 
 
If the user does not have a SSN defined in the New Person (#200) file they
will not be allowed to access any Patient file record.  If the SSN in the
New Person file matches the Patient file SSN they will not be allowed to
access or create their own Patient file record.

See National Patch Module for description of changes included in this patch.

Y2K DGR report fixes

The changes included in this patch are described in the description
of patch DG*5.3*226 in the National Patch Module.

RE-ENROLLMENT - ACTIVATE CD FUNCTIONS

See National Patch Module for description of changes included in this
patch.

This build contains changes to a load/edit screen routine for PCMM patch 
SD*5.3*177.

Refer to National Patch Module for details

See the National Patch Module for a complete description of patch
DG*5.3*253.

See NPM for description.

This patch corrects Enrollment issues.

This patch distributes the Means Test thresholds for the year 2000.

This patch updates the PTF CENSUS DATE (#45.86) file for the 1st quarter
of FY 2000 census.

Means Tests affecting workload patch.  See National Patch Module for
further details.

TREATING FACILITY/PATIENT MERGE NAME
Refer to patch DG*5.3*240 in the FORUM Patch Module for a complete 
description.

New PTF Places of Disposition

See the national patch module for details.

PATIENT MERGE/MEANS TEST MODIFICATION

This patch contains modifications to the patient look up process for GUI
Two RPCs will be created for GUI applications:
 
     - DG SENSITIVE RECORD ACCESS determines if the user is accessing
his/her own Patient file record, if the record is sensitive or if
the patient's primary eligibility code is employee.
 
     - DG SENSITIVE RECORD BULLETIN updates the DG Security Log file and
generates the Sensitive Record Access mail message.
interfaces and provides functionality for Privacy Act compliance for
employees.
 
If the patient's primary eligibility code is employee, the DOB and SSN
fields will display *SENSITIVE* until the user acknowledges they wish to
access the sensitive record.  The DG Security Log file is updated and
the Sensitive Record Access mail message generated.
 

This is the quarterly update patch for FY 96, quarter #3.  The
changes included in this patch are described in the description
of patch DG*5.3*93 in the National Patch Module.

Excess HL7 messages from patient lookup

This patch modifies routine DGPTMOVE to correctly display the next fiscal
year in the Move Trim Values, [DG PTF MOVE TRIM], option.

Patient Lookup Functionality

Addresses NOIS NCH-0999-43030. Remove Cease Enrollment option from 
[DGEN PATIENT ENROLLMENT] ListMan interface.

This patch updates the PTF CENSUS DATE (#45.86) file for the 2nd quarter
of FY 2000 census.

See National Patch Module for details. 

This patch eliminates the undefined error when execution returns to
the routine DGREG after the DINUM variable has been newed in the routine
DIR1 at IT+1 and set to an inversed date/time.
 
The changes included in this patch are described in the description of
patch DG*5.3*245 in the National Patch Module.

See National Patch Module for details.

See national patch module entry DG*5.3*99 for details on the contents of
this build.

PATIENT file DD change

If the DGSENFLG variable is set by the calling program, the patient's
sensitive record status should not be checked during a patient look up.
This patch modifies routines DGSEC and DGSEC4 restoring this process to
its original functionality prior to DG*5.3*249, DGSEC MODIFICATIONS &
PRIVACY ACT COMPLIANCE FOR EMPLOYEES.

CPT MODIFIERS AND MST

Resolve Issue with invalid Receiving Facility and Undefined Variable DGX
in DGPMV301

CPRS REMOTE DATA VIEWS
Refer to patch DG*5.3*261 in the FORUM Patch Module for a complete
description.

Patient Wristband and History Listing.

This patch updates the PTF Census Dates (#45.86) file with the dates for
the 3rd quarter PTF census.

VAFC EXCEPTION HANDLER OPTION
Refer to patch DG*5.3*255 in the FORUM Patch Module for a complete 
description.

See National Patch Module (Patch DG*5.3*291) for details.

 KIDS distribution of the Registration portion of the Ambulatory Care
 Reporting Project.
   
 The changes included in this patch are described in the description of
 patch DG*5.3*94 in the National Patch Module.

This patch installs the routine and Data Dictionary change required to
this instruction, a commercial product was selected to implement this
direction.  This patch installs the Data Collection functionality needed
by the COTS system for initial data seeding of the HL7 interface required
for this product.
perform the Data Collection process which will be used to seed the
Commercial-Off-The-Shelf Resident Assessment Instrument / Minimum Data Set
Ver. 2.0 (RAI/MDS).  MDS Ver 2.0 is currently used in Medicare (Title 18)
skilled nursing facilities and Medicaid (Title 19) nursing facilities.
 
In May 1995, the VHA's Long-term Care Policy Plan, Information Letter IL
10-95-024 was approved and charged the Office of Geriatrics and Extended
Care with national implementation and automation of the RAI/MDS.  Under

This patch corrects the problem of not being able to enter a future date
on the last day of the month when running the "List of Patients on ASIH" 
report.  The correction to this problem enables the user to enter any future
date.  In so doing, if a future date is entered the user is reminded that they
may want to queue this report so as to avoid printing a negative report.
 
This problem was reported in NOIS # MIN-0199-42808.
 
The routine DGOASIH was modified to correct this problem.

This patch addresses the Tricare/Champus issue, where closing PTF records
for patients with a single eligibility of "Tricare/Champus" paired with a
Period of Service of "Champus" causes the 114 error.

See National Patch Module for details.

This patch installs the routines and Data Dictionary changes required for
this instruction, a commercial product was selected to implement this
direction.  This patch installs the VistA portion of the HL7 interface
required for this commercial product.
the VistA HL7 Interface to the Commercial-Off-The-Shelf Resident
Assessment Instrument / Minimum Data Set Ver. 2.0 (RAI/MDS).  MDS Ver 2.0
is currently used in Medicare (Title 18) skilled nursing facilities and
Medicaid (Title 19) nursing facilities.
 
In May 1995, the VHA's Long-term Care Policy Plan, Information Letter IL
10-95-024 was approved and charged the Office of Geriatrics and Extended
Care with national implementation and automation of the RAI/MDS.  Under

See National Patch Module (Patch DG*5.3*292) for details.

Delete patients from PATIENT/IHS FILE when patients are deleted from
PATIENT FILE.

STOP ADDRESS UPDATES
Refer to patch DG*5.3*295 in the FORUM Patch Module for a complete
description.

TREATING FACILITY LIST
Refer to patch DG*5.3*316 in the FORUM Patch Module for a complete
description.

See national patch module DG*5.3*100 for details of this patch.

Please see Natinal Patch Module for details.

This patch updates the PTF Census Dates (#45.86) file with the dates for 
the 4rd quarter PTF census.

EXCEPTION MESSAGES / PATIENT DATA REVIEW
Refer to patch DG*5.3*307 in the FORUM Patch Module for a complete
description.

Please see DG*5.3*290 in the National Patch Module for a complete
description.

This patch is a clean up to follow patch DG*5.3*267.  It will correct the 
problems of where a previous income years test was made non primary after 
a future test became active for the current income year.

This API returns an array of data from the Patient Treatment
         (2)=2nd thru 10th ICD9 codes
 
Integration Agreements #3157(API) and #3164 (RPC) have been obtained.
file (#45).  It can also be done as a Remote Procedure call
(in the Remote Procedure file #8994, see DG PATIENT TREATMENT DATA).
 
The call is to RPC^DGPTFAPI(RESULTS,PTFNUMBR) where RESULTS is the
array passed by reference, and PTFNUMBR is the IFN of the Patient
Treatment file.  Currently, the data returned is:
  RESULTS(0)=1 or -1 if an error occured
         (1)=type of disposition^place of disposition^1st ICD9 code

To address several miscellaneous Treating Specialty, IRT and VADPT NOISs.

Extract patient address information from a list of social security
numbers.

Contains routine DGPTFVC1 which fixes a problem in performing the validity
checks on station number.  See the National Patch Module entry for
DG*5.3*79 for more information.

See NPM for description.

This patch is being distributed as part of the National implementation of
the 1010EZ web initiative.  This initiative allows a veteran to enter and
submit an enrollment application through an online 1010EZ form to their
preferred VAH medical facility.  

This patch provides an API to determine if a patient's treating specialty
for a specified movement or date/time is or was an observation specialty.
Routine DGPMOBS provides three entry points:  MVT, PT and SPEC.
 
Please see NPM patch description for complete documentation.

Please refer to patch number DG*5.3*305.

This patch is designed to correct the message that is received when the 
facility received is not found during the processing of incoming HL7
messages.

Fix 1010F printing problems

Allow sites to enter MT before CAD

See patch DG*5.3*318 in FORUM for description of this Build.

New Data Seed for RAI/MDS.

See National Patch Module description.

See National Patch Module for details.

ICN HISTORY CORRECTION
Refer to patch DG*5.3*329 in the FORUM Patch Module for a complete
description.

Extract patient address information from a list of social security
numbers.

Incorrect values from GETSTAT^DGMSTAPI.

Please refer to patch DG*5.3*330.

FACILITY + SUFFIX ON PV1 SEGMENTS

Please see Patch DG*5.3*337 in the National Patch Module for description of
this Build.

Routines needed for Patch DG*5.3*311. The routines are DGMTU11, DG311PTR,
DG311PIR and DG311RPT. Please see National Patch Module for more details.

Please refer to patch DG*5.3*297.

See National Patch Module.

Patch DG*5.3*353 addresses NOIS LOM-0900-60219 where the "Yes or No"
response at the "TREATED FOR AO CONDITION:" and "TREATED FOR IR
CONDITION:" PTF movement prompts are overwritten with the current fileman
date.  This situation creates validation issues.

See Patch DG*5.3*302 in the National Patch Module for description of this
Build.

Please refer to patch DG*5.3*347.

See patch DG*5.3*335 in the National Patch Module for description of this
build.

See patch DG*5.3*346 in the National Patch Module for description of this
build.

See patch DG*5.3*345 in the National Patch Module for description of this build.

CORRECT CONSISTENCY CHECK FOR CD ENTRY

 See National Patch Module for description of changes included in this
 patch.

Please see Patch DG*5.3*294 in the National Patch Module for description of
this Build.

Please see Patch DG*5.3*327 in the National Patch Module for description of
this Build.

This patch solves a patient information display break problem, and patient lock problem.

This patch will install a new version of routine DGRUHL1.  The new version
will send the DGRU REJECT bulletin to the DGRU RAI NOTIFICATION mail group
when an HL7 message gets rejected by the Accu-Med System and will include
the patient name, SSN, HL7 event code, reject reason, parent message ID,
and the date/time of the parent message.

Please see National Patch Module for description of this Patch.

PATIENT DATA REVIEW ENHANCEMENTS
Refer to patch DG*5.3*333 in the FORUM Patch Module for a complete
description.

The changes included in this patch are described in the description
of patch DG*5.3*101 in the National Patch Module.

See Description in National Patch Module.

Fixing problems with Inpatient List.

See Description in National Patch Module.

KIDS Build for DG*5.3*372

 
 Patch DG*5.3*286 addresses the Patient Inquiry issue noted in NOIS
 TAM-0799-31096.
 
 Scheduled Admit data was being lost at the $$OKLINE(17) page break.   The
 "X" variable, holding the Scheduled Admits data was being overwritten
 whenever at the ^DIR call used to create the page break.  The situation
 was corrected by "newing" the "X" variable at the OKLINE call.

This patch addresses the issue that is described in the following NOIS:
Should either of the two Database Server calls fail, a message will be
sent to the VistA mail group "DGEN ELIGIBILITY ALERT" and the HEC mail
group "ELIGIBILITY ALERT".  This will allow the remaining records in the
batch to be processed.
 
The following messages will be returned when the Purple heart information
did not file correctly:
 
        Unable to update Purple Heart Data
        Unable to update Purple Heart History
            SLC-0401-51241:    ERROR:  EDITPH1+7^DGRPLE:1
 
This error resulted from processing an ORU-Z11 transmission from the HEC.
When the record fails to update, the error "undefined variable
^DPT(DFN,.53)" causes the ORU-Z11 transmission to stop, and the remaining
record in the batch are not processed.
 
The FileMan DIE calls have been replaced with Database Server calls.

Correcting the Medicaid number display in the Insurance data screen.

See NPM for description.

Please refer to Patch DG*5.3*344.

Please see the National Patch Module in Forum for description of this patch.

This will resolve issue with the ability of an active lodger to be
Dispositioned. 

Description:
 
Corrected by using formatted SS# whenever Primary Long ID missing.  If no
SS# found, "No ID found" notation will print.
============
Patch DG 287 addresses NOIS WRJ-0100-12175 issue dealing with the Patient
Wristband Print.  It was found that for selected patients, specifically
TRICARE, the PID was not printing on the wrist band.
 
It was found that due to file definition for some patients (ie. TRICARE),
the Primary Long ID was not set consistent with the other categories thus
creating a missing ID.

CORRECTION TO DGSEC ROUTINE FOR PATIENT LOOKUP

See patch DG*5.3*378 in the National Patch Module for description of this
build.

PATIENT DATA REVIEW - NAME COMPARISON
Refer to patch DG*5.3*384 in the FORUM Patch Module for a complete
description.

KIDS distribution of the DHCP portion of the Veteran Identification Card
(VIC) Project.
 
The changes included in this patch are described in the description of
patch DG*5.3*73 in the National Patch Module.

This patch will install a new version of routine DGRUGDS.  The DGRUGDS
RAI ward, the user will be allowed to make another selection and no HL7
A01 Admit message will be transmitted for the non-RAI patient.  If the
selected patient was an RAI-ward patient but currently inactive (for
example, ASIH), no HL7 A01 Admit message will be created and the user may
select another patient if desired, or quit.
 
 
 
.
routine does the data seeding of patient data in the RAI/MDS
COTS system.  HL7 A01 Admit messages are created for patients
currently active in wards assigned to the selected division. 
 
This version will also allow the user to select individual or multiple
patients currently active in RAI designated wards.  If the patient is
active in an RAI ward, an HL7 A01 Admit message will be created
and sent to the RAI/MDS COTS system.  If the selected patient is not in an

PATIENT SELECT CRITERIA FOR CPRS REMOTE DATA VIEWS
Refer to patch DG*5.3*392 in the FORUM Patch Module for a complete
description.

See national patch module for description.

NON-TREATING PREFERRED FACILITY CLEAN UP

Legacy Sites do not Check for MPI.

This build corrects a problem in the DGEN339 routine when sending more 
than 1000 veteran merge records to the HEC Production account.
Transmissions of fewer than 1000 veteran records will not see the error.

1997 Means Test Threshold update patch.  See National Patch Module for
further details.

See national patch module for description.

See patch DG*5.3*351 in the National Patch Module for description of this
build.

REMOVE EXECUTE ON OPEN PARAMETER FIELD.

See patch DG*5.3*395 in the National Patch Module for description of this
build.

Report crashes due to storage error in memory.  Moved ICD9 codes to ^TMP.

See national patch module for description.

See national patch module for description.

DRG REPORTS & OPTIONS

See National Patch Module for description.

This patch prevents selecting those INSTITUTION entries that has no
Station Number as patients' Claim Foler Location.

Patch to fix problem with Compiled Templates in the DG Namespace

The changes included in this patch are described in the description of
patch DG*5.3*397 (Mill Bill - LTC/Visit/Medication Co-Pay) in the National
Patch Module.

This patch adds a new edit check validating the Suffix field in the
PTF record contains 'PA' if the discharge treating specialty is
one of the PRRTP specialty codes.

See patch description for patch DG*5.3*429 in national patch module.

See NPM for description.

PATIENT MPI/PD DATA INQUIRY RETRIEVAL
Refer to patch DG*5.3*414 in the FORUM Patch Module for a complete
description.

This patch changes the PTF quarterly census closeout date to the 19th of 
the month following the census date. 

The changes included in this patch are described in the description
section of patch DG*5.3*379 in the National Patch Module.

Co-Pay Tests are incorrectly displaying as required for Inpatients.  A
previous patch (DG*5.3*358) has corrected most of the menu options for
patients who have been admitted on a domiciliary ward, and do not display
Means Test and Medication Co-payment Exemption messages.

NEW CROSS REFERENCE ON SSN
Refer to patch DG*5.3*440 in the FORUM Patch Module for a complete
description.

This KIDS build contains the changes described in the national patch
module under DG*5.3*80.

See National Patch Module for description.

Please see Patch DG*5.3*445 in the National Patch Module for description 
of this Build.

A new API named APLD^DGUTL2 has been created with this patch. The API
APLD^DGUTL2 will return the specific dates and total days for a patient's
PASS, LEAVE and ASIH for the billing period specified.  APLD^DGUTL2 will
generate a -1 extrinsically if the parameters passed into the API are
invalid.

See national patch module on FORUM for description.

Hardship Information sharing between sites.

The changes included in this patch are described in the description
section of patch DG*5.3*443 in the National Patch Module.

SCREEN TREATING FACILITY LIST
Refer to patch DG*5.3*448 in the FORUM Patch Module for a complete
description.

Addresses NOIS V19-0202-50263 and others that are closed.

Change priority rule for priority group 3.

This patch is in response to Item #22 in the Rossio Report.  In the area
of Means Test (MT) Deficiencies, Item #22 required that the Veterans
Health Administration (VHA) identify best practices for means testing and
acquiring veterans' signatures at the local level and explore the
promulgation of these best practices throughout the system.  This patch
adds a site controllable parameter to post a means test completion
bulletin to a local mail group.

See National Patch Module for description.

Please see Patch DG*5.3*332 in the National Patch Module for description of 
this Build.

Distribution of mail group for the Austin web-based Missing Patient
Register application.

VistA HL7 Upgrade v1.5 to v1.6 - VAMC side

Associated patches: (v)SD*5.3*262 install with patch       `DG*5.3*447'
installation instructions.
 
 
Remote Procedures
-----------------
 
DGWPT BYWARD
  Returns a list of patients currently residing on a specified ward
 location.
 
                    (v)XU*8*234   install with patch       `DG*5.3*447'
 
DGWPT CLINRNG
  Returns a list of selectable options from which a user can choose
 a date range for appointments.
 
DGWPT DFLTSRC
  Return user's default patient list source.
 
 
DGWPT DIEDON
                    (v)YS*5.01*71 install with patch       `DG*5.3*447'
  Returns date of death if patient has expired. Otherwise returns 0.
 
DGWPT SAVDFLT
  Saves user's preference for default list source.
 
DGWPT SELCHK
  Returns a 1 if the patient record is flagged as sensitive, otherwise
 returns 0.
 
DGWPT SELECT
 
  RPC to return key information on a patient as follows:
 1    2   3   4     5      6   7     8    9        10    11  12 13  14
NAME^SEX^DOB^SSN^LOCIEN^LOCNM^RMBD^CWAD^SENSITIVE^ADMITTED^CONV^SC^SC%^
ICN
 
DGWPT TOP
  Returns the last selected patient by the defined user.
 
DGWPT1 PRCARE
  Return primary care information for a patient in the format:
This patch is released in support of Mental Health Assistant GUI patch 
 VAL=Primary Care Team^Primary Care Provider^Attending
 
 
Associated NOIS:
================
NONE
 
Test Sites:
===========
Minneapolis VAMC, MN
YS*5.01*71. Patch DG*5.3*447 contains the following Remote Procedures and 
Salt Lake City HCS, UT
VA Health Care Network Upstate New York
VA N. Florida/S. Georgia Veterans HCS
VA North Texas HCS
 
 
ROUTINE SUMMARY:
================
   The second line of the routine now looks like:
 
routines.
  <tab>;;5.3;Registration;**[patch list]**;Aug 13, 1993
                            Checksum Values
 
   Routine Name    Before Patch   After Patch    Patch List
   ------------    ------------   -----------    ----------
 
 
   DGLP3USR                  N/A            5761869         447
   DGQPT                     N/A            18835443        447
   DGQPT1                    N/A            17196488        447
 
   DGQPT2                    N/A            2845976         447
   DGQPTQ1                   N/A            9659046         447
   DGQPTQ11                  N/A            13181943        447
   DGQPTQ2                   N/A            11842536        447
   DGQPTQ5                   N/A            13189119        447
   DGQPTQ6                   N/A            9925723         447
   DGWPT                     N/A            3719607         447
   DGWPT1                    N/A            7065014         447
 
 
Please refer to the information contained in the Mental Health patch for 
Installation Instructions:
==========================
 
  Instructions for installation of the software are included in the 
  Mental Health Assistant (MHA) patch YS*5.01* 71.

See National patch module for detailed description.

REMOVE TREATING FACILITY SCREEN
Refer to patch DG*5.3*449 in the FORUM Patch Module for a complete
description.

See National Patch module for description of patch.

See national patch module on forum for description.

This patch addresses a problem with a Patient NAME changed to a number when
a future MEANS TEST is executed and then LOAD PATIENT DATA is used.

This patch addresses PTF closeout for census problem that contributes to
duplicate census records.

KIDS Build for DG*5.3*431

Send MPI seed data to the HEC.

See patch DG*5.3*387 in the National Patch Module for description of this
build.

This patch adds the HOSPICE Nursing Home Care as a new specialty to
the SPECIALTY (#42.4) file. An entry in the FACILITY TREATING SPECIALTY (#45.7)
is optional.

This patch will address the problem when there are too many patient
movements on one admission and the 'string too long' error is created.
A local array instead of a single variable will be used in DGUTL2 routine.

Stop redundant HL7 messaging.

See national patch module for complete description.

This patch is being distributed to update the APSOD xref on the 
Date of death field.  The kill logic is being updated to notify
outpatient pharmacy when a date of death is deleted.

NEW MESSSAGE STRUCTURE - PHASE 1
Refer to patch DG*5.3*428 in the FORUM Patch Module for a complete
description.

See National Patch Module for description of changes included in this
patch.

Within several HL7 messaging programs there is a call to invoke the 
process to send an acknowledgment back to the HEC that is using the 
wrong variable.  Also several programs do not clean up the temporary 
global - ^TMP prior to and/or after creation of a query.

NEW MESSAGE STRUCTURE - PHASE 2
Refer to patch DG*5.3*474 in the FORUM Patch Module for a complete
description.

This patch addresses Geographic Means Test as a new Means Test Indicator
        Change: 'AN' WILL STAND FOR 'CAT A NSC'.
            To: 'AN' WILL STAND FOR 'NSC MT COPAY EXEMPT'.
 
        Change: 'C' WILL STAND FOR 'CAT C'.
            To: 'C' WILL STAND FOR 'MT COPAY REQUIRED'.
 
           Add: 'G' WILL STAND FOR 'GMT COPAY REQUIRED'.
 
The algorithm logic in PTF for determining the means test indicator in 
routines DGPTUTL and DGPTFVC1 have been modified to include patients with 
value used in PTF.  This new value will be added to the Means Test
GMT status.  A new API ($$PA^DGMTUTL) is used to determine whether a
status of 'pending adjudication' will be 'mt copay required' or 'gmt copay
required'.
 
Austin edit checks have been modified in routine VAFHLZIR to include the
new value of 'G' when validating means test indicators for transmissions
to Austin.
Indicator (#10) field of the PTF (#45) file. The new value will be titled
GMT COPAY REQUIRED and have the code value of 'G'.  In addition, two means
test indicators will have their descriptions changed to reflect Enrollment
changes to CAT A and CAT C Copay status. The following Data Dictionary
changes will be made to the Means Test Indicator (#10) field of the PTF
(#45) file:
 

GMT THRESHOLDS UNDEFINED

Modify the ADDRESS CHANGE DT/TM (field #.118) of the Patient (#2) file
from a Time required field to a Time not required field.

CLEANUP RECORDS FROM THE 408.12, 408.21, & 408.22 FILES THAT WERE 
PARTIALLY STUBBED IN BECAUSE OF AN HL7 VER. 1.6 PROBLEM.  
NOIS:NIN-0802-40682

ENROLLMENT SUB-PRIORITIES

HL7 segment builder changes.

 
 
 
 
HIPAA CONFIDENTIAL ADDRESS.

The changes included in this patch are described in the description
of patch DG*5.3*113 in the National Patch Module.

Fix undefined error from DGBT BENE TRAVEL SCREEN (Claim Enter/Edit).

Address's the following NOIS:
the ANNUAL MEANS TEST File (#408.31), but the MT from the PATIENT file is
displayed.  This patch fixes that inconsistency.
 
This patch will also install a cross-check which will update the CURRENT 
MEANS TEST STATUS field, if necessary, during patient lookups.
CLL-0802-41804
SLC-0502-52697
 
This patch fixes the manner in which the current means test is displayed 
during a patient inquiry by calling the current means test API instead of 
using the CURRENT MEANS TEST STATUS field from the PATIENT File (#2).  
This field is not always in-synch with the patient's current MT from the 
ANNUAL MEANS TEST File (#408.31). All processing is done on the MT from

This patch contains changes to various patient data HL7 segment 
 
HL7 routines are modified as follows:
 
VAFCA04 - ROL segment is added (inpatient only).
 
VAFCADT2 - ROL segment is added to transmissions: 
        A01 - Admission         A11 - Cancel Admission
        A02 - Transfer          A12 - Cancel Transfer
        A03 - Discharge         A13 - Cancel Discharge
        A08 - Treating Specialty Update
builders required in the Registration and PTF software for the collection 
 
VAFCMSG3 - ROL segment is added (inpatient only).
 
The ROL segment will be transmitted for the required attending physician 
and may include the ROL segment for the primary (admitting) physician 
(not required).  The transmission component in the ROL segment will send
the letter 'A' signifying Admitting provider and the letter 'T' signifying
the Attending provider.
 
ADDITIONAL INFO ON POST-INIT ROUTINE DG53484P:
of Primary (admitting) provider.  These changes will be sent to the 
---------------------------------------------- 
DG*5.3*484 distributes a post-init routine that changes the name of the
"NPTF" application in the HL7 APPLICATION PARAMETER file (#771) to "NPTF-
484".  This change allows the proper collection of the ADT ROL segments 
at the National Patient Care Database.
 
Routine DG53484P can be deleted after successfully completing the patch.
Austin Automation Center for storage in the National Patient Care 
Database.
 
 
Changes to the  HL7 segment builders:
-------------------------------------

FIX MT UPLOAD PROBLEM

Patient name standardization patch. 

Fix Patient Look-Up Problem

nois ISA-0403-11105

See National Patch module for description of patch.

Geographic Means Tests was introduced changing the naming conventions of
    replace Category 'A' Veteran with MT Copay Exempt; replace Category
    'C' Veteran with MT Copay Required; add GMT Copay Required.
 
2.  Patients with a Pending Adjudication Means Test status will display
    whether the pending adjudication is for MT Copay Required or GMT Copay
    Required, with the latter determination being displayed.
 
3.  Title of 'Means Test Indicator's' under the parameters display will be
    replaced with 'Means Test Copay Applicability'.
 
Category A and Category C Means Tests. This patch will update the Gains
4.  Title of 'Means Test Display' under the parameters will be replaced 
    with 'Means Test Copay Applicability Display'.
and Losses (G&L) Sheet with modifications needed to conform to these
changes in the display of Means Test status.
 
Changes will include the following:
-----------------------------------
 
1.  The legend diplayed when listing Means Test statuses for patients will

HIPAA Confidential Address changes.

GEOGRAPHIC MEANS TESTING - PHASE II

MODIFY HOW PATIENT SENSITIVITY IS CHANGED

MPI CHANGES - ITERATION 1
Refer to patch DG*5.3*505 in the FORUM Patch Module for a complete
description.

Emergency patch to facilitate the patient file conversion.

PATCH:    DG*5.3*495
 
SUBJECT:  FIX MT NO LONGER REQUIRED ISSUE

See patch description for DG*5.3*487.

DG PRE-REGISTRATION OPTIONS

LTC Copayment Phase III

The 55 INCOME DATA MISSING inconsistency results if none of the income 
This patch updates the business rules for the 55 INCOME DATA MISSING 
error to bring the consistency checker in line with the checks being 
performed by the means test requirements.
questions on screen 9 of the Load/Edit Patient Data screen are answered 
and the patient has not agreed to pay the deductible.  Sites are 
indicating that they are getting the 55 INCOME DATA MISSING error for 
veterans who do not require income information.  Unless they enter a "0" 
into the income fields, they cannot clear the error.  By entering a "0" 
in these cases, they feel the veteran's income data is misrepresentative 
and that they should not have to enter a "0" to clear this error.
 

Killed DG20NAME after call to NCEDIT at linetag 101.

PATIENT DATA REVIEW FIXES & ENHANCEMENTS
Refer to patch DG*5.3*477 in the FORUM Patch Module for a complete
description.

UR 72 HOUR BULLETIN

FIX VISTA VIEW PAST MEANS TEST SCREEN 2-4

The report included in this patch is the follow up to Patch DG*5.3*512,
process, where at least one PTF record within the Fiscal Year must include
a valid Means Test status for the patient.  The patient will be included
on the report only if ALL the patient's PTF records within the date range
selected have a current MT Status Indicator of 'U'. This will focus the
list on patients who have no valid MT status in the National Patient Care
Database (NPCD) for the date range chosen.
which was a KIDS build released on May 29, 2003.  
 
Due to the changes brought in by patch DG*5.3*512, reports are needed to
identify patients who require a Means Test and who have had inpatient
episodes of care transmitted with a MT indicator of U.  A new report 
option called PTF Records Transmitted with MT Indicator of U [DG PTF TRANS
MT EQUAL U RPT] will be added to the PTF Output Menu [DG PTF OUTPUT MENU].
This report conforms to requirements related to the VERA allocation

See National patch module for patch description

Please refer to patch DG*5.3*425 in the National Patch Module for a 
complete description of this patch.

This patch fixes a problem with IN5^VADPT returning old admissions for 
outpatients.

Please see the National Patch Module for details
of the enhancements included in this patch.

Please see the National Patch Module for details
       of the enhancements included in this patch.

Description:
===========
 
This patch adds to the print utility routine DGUTQ code which will allow
force queuing of reports.
 
This patch addresses the following NOIS message(s):
---------------------------------------------------
CMO-0600-41899   CANCEL CLINIC AVAILABILITY GIVES END OF FILE ERROR

This is the cleanup of the Name Component file #20.

This patch avoids an undefined error which is preventing users from
admitting patients in certain circumstances, and prevents orders from
being released multiple times.  

NEW MESSAGE STRUCTURE - PHASE 3
Refer to patch DG*5.3*479 in the FORUM Patch Module for a complete
description.

 
See national patch module DG*5.3*82 for details of this patch.

See National Patch Module for description.

Problems in registration system caused by filter for inpatient roster, 
unclear description in period of service field, use of pseudo SSN s in 
claim number and error entering more than 3 surgeries in a day.

Please refer to Patch DG*5.3*533

Fixes for NOISes TAM-0303-31335, ISA1098-12507, DAN-0700-40870, NOL-0998-70264, SFC-1202-61040.

This patch will modify the SCREEN and INPUT TRANSFORM for setting the ADV
cross-reference on the INSTITUTION file (#4) pointer in MEDICAL CENTER 
DIVISION file (40.8) field 7.

THIS PATCH CORRECTS A LOCK PROBLEM WHEN MULTIPLE PATIENTS ARE EDITTED, 
A NULL SUBSCRIPT ERROR REPORTED IN ROUTINE VAFHPURG, AND A PTF 
TRANSMISSION PROBLEM WHICH FAILED TO INITIALIZE THE LINE COUNT VARIABLE.

This patch contains a couple of cleanup routines to remove duplicate and 
bad Means Tests from the ANNUAL MEANS TEST file #408.31.

This patch fixes various NOIS calls.  See NPM for details.

See National Patch Module for description.

FIX DISPLAY ON SCREEN 4 FOR MEANS TEST VIEW

The Patch (DG*5.3*546) fixes problems related to Insurance Data, Primary and
Secondary IDs.

Fix to ADT/HL7 messaging

This allows pick lists to return entries beyond those that match the 
entering a patient or a bill number.
user's input exactly. With the fuzzy lookups in place a bill number
such as K301EL2 may also return patients whose names begin with KEL.
This has an unexpected result on the AR options when the user
entered bill numbers.
 
With this patch an Integration Agreement for the Accounts Receivable 
software package has been approved, this will allow for the correction to 
the patient fuzzy lookup that has caused sites to have problems when 

Date of Death Modifications to ZPD segment

This patch fixes reported problems with the DG SCHED AMIT option, MST
Summary Report, the Detailed Demographic Report, Fee Basis PTF records 
with no admit time, CUM ADC Totals on the BSR and printing a blank
lines for 'DON'T DISPLAY' Totals on the BSR.

Please see the National Patch Module for details
of the enhancements included in this patch.

See National Patch module for description.

 
 
Messaging changes for HIPAA confidential address communications

Fixes assorted backlog NOIS calls.

REMOVAL OF WORKLOAD CAPTURE FROM REGISTRATION

Fix for blank level 2 and higher totals for Cum ADC on the Bed Status 
Report caused by DG*5.3*529.

Updates record in file 407.7.

See National Patch Module for description.

restores routine DGPTFTR to the version that existed 
prior to install of DG*5.3*530.

CORRECT FUTURE APPOINTMENTS ON DEATH BULLETIN

TRIGGER UPDATES
Refer to patch DG*5.3*575 in the FORUM Patch Module for a complete
description.

REMOVAL OF AMPIZZ AND ATSSN CROSS-REFERENCES - MPI CHANGES ITERATION 2
Refer to patch DG*5.3*589 in the FORUM Patch Module for a complete
description.

Combat Veteran Phase II

FIX LINKED FIELD FOR MT/CP TESTS.  REMOVE LINK WHEN A MT OR RXCT IS 
DELETED.

ACCESS TO PAI, CHECK IN LODGER FIX, DELETING DUMMY REGISTRATION.

New VistA fields for 1010EZ Phase 2.5 enhancements.

This patch will prevent the DG MEANS TEST SUPERVISOR MENU's Purge 
Duplicates option from purging IVM Converted Tests that appear to be bad
duplicates.  These tests were flipped to NOT PRIMARY and this utility
will flip them back to PRIMARY prior to purging any duplicate Income 
tests.

Please refer to patch DG*5.3*571 in the National Patch Module for a 
complete description of this patch.

See the Patch Description for DG*5.3*572 in the FORUM patch module.

Updates to Registration Routines

Patient File cleanup and $(G) to DGPMVDD

This build contains routines to cleanup various failed Means Test Uploads 
and duplicate Means Test purges.

SUPPORT FOR HDR
Refer to patch DG*5.3*520 in the FORUM Patch Module for a complete
description.

This patch repairs certain Patient Record Flag displays when
patient lookups are done from within ScreenMan.

This patch concerns a situation where an incomplete patient record
is temporarily created when adding a new patient, and incorrect
text in the definition of an option. 

1. Due to sites experiencing performance issues, modifications were made 
   to have tasks removed from Taskman after completion.
2. Modification to prevent duplicate ISO bulletins and log entries 
   created during the addition of a spouse or dependant.

Add Clinical Reminder index cross-references to PTF.

See National Patch module for description.

This patch is concerned with identifying test patients.

This patch will incorporate the changes required by the FEE BASIS 
Encapsulation Project.  No functionality will be introduced.

Patient Safety issue regarding iens with decimals; 
routines with undefined variables

Patch is in support of Pub. L. 107-103, section 505.
This patch will add new fields to the patient file and new options
that will allow the tracking of Fugitive Felon Information as provided
by the appropriate sources and provides both reporting and inquiry 
mechanisms.

This patch is in support of the Billing Replacement - Encapsulation 
which had been retrieving insurance information from either the INSURANCE 
File (#36) or the INSURANCE TYPE sub-file (#2.312) of the PATIENT File 
(#2), has been modified to use the $$INSUR^IBBAPI API call originally 
released with patch IB*2*256, IB INSURANCE API.
Project.  The objective of this project is to standardize existing VistA 
Integrated Billing and Accounts Receivable functionality so that a new 
COTS billing/AR product may be effectively integrated into the VistA 
suite. This will be accomplished by replacing direct IB and AR touch 
points with standard authorized API's available to all VistA packages. 
 
This patch will replace all current direct access of Insurance 
Information in the VistA Registration package with a new API call.  Code 

This patch provides a list
of records with bad SSNs, fixes the sort template for NPTF reports,
and reformats the attending MD name in HL7 segments. 

See National Patch Module for description.

This patch introduces software changes for NOIS issues reported within the
Patient Records Flag module that is part of the Registration V. 5.3 
package.

Date of Death Enhancements

OBSOLETE PROTOCOL CLEANUP
Refer to patch DG*5.3*639 in the FORUM Patch Module for a complete
description.

PTF problem with Rendering Provider for CPT updates. Inactive providers 
with inactive date later than CPT record date are not allowed as valid
provider.

Display Bad Address Indicator at patient lookup.
 
Report.

The changes included in this patch are described in the description
of patch DG*5.3*130 in the National Patch Module.

This patch concerns a situation where the patient record has a large 
The VDEF / Standardized Messaging team request that when the APID build
process is called from the VDEF process, any "HL7 special characters" that
could be found in patient street address data, be encoded to HL7
standards.
number of aliases. The  HL7 message to update the MPI was being built
incorrectly and causing an exception on the MPI in cases where the patient
record has several aliases.  The MPI was then not able to process the
message and update the record.  
                          AND
The MPI DQ Team requests that the ALIAS SSN (2.01,1) field be added to 
the Display Remote Patient Data Query [RG REMOTE PDAT DISPLAY] Option. 
                          AND

This patch will remove any duplicate race entries in the 2.02 multiple
of the patient file, and will ensure that when data is imported 
using the Register Once Messaging (ROM) query during registration,
that entries in the Race and Ethnicity multiples are dynamically 
numbered.

This patch disables old VIC prompts in Registration.

This patch facilitates using the VIC card in mag readers, no longer
displays messages on "missing" patients, and allows PTF Fee Basis 
records to close.

Patient catastrophic edits.
determined to be catastrophic).
 
1.  Two or more edits (name, ssn, dob, or sex) during the Registration 
process create alert to those holding the DG CATASTROPHIC EDIT key.
2.  Alerts retained for 365 days.
3.  Alert allows patient information displayed with collected data on 
review and catastrophic edit status.
4.  Report displays alert information (going back one year) on 
catatastrophic edits (alerts posted, alerts reviewed, and alerts 

This patch updates the PTF AUSTIN ERROR CODES file #45.64 and 
corrects the output transform for the CONFIDENTIAL ADDRESS COUNTY 
field #.14111 in the patient file.

Cleans up dangling PATIENT RELATIONS file # 408.12 that have a bad
pointer to a bad patient or person record (field #.01 or #.03 or both)

This patch is to modify the census routines to include care provided at 
non-VA facilities.

1. Prevent sending blank message to Austin
 
2. Expand DG1 segment in HL7 RAI/MDS packet to include up to 13 diagnosis
 
3. Error during the Process Dicom Images on DIG1 with a broker error.

See National Patch Module for patch description.

Add asterisks to identify Insurance Buffer entries back into Screen 5
of the Patient Load/Edit Screens.  This makes use of a new field added
to the return from Insurance Encapsulation API.
 
The IN1 and IN2 HL7 segment builders are modified to use the Insurance 
Encapsulation API.

The patch will modify the PTF transmission message to 
  include up to 13 diagnoses from the PTF.

Add asterisks to identify Insurance Buffer entries back into Screen 5
of the Patient Load/Edit Screens.  This makes use of a new field added
to the return from Insurance Encapsulation API.
 
The IN1 and IN2 HL7 segment builders are modified to use the Insurance
Encapsulation API.

This patch addresses the patient name lookup, cleans up variables left
in the symbol table, allows the creation of VIC cards for patients without
a first name, backs out the changes to the CUM ADC totals on the BSR, and
creates cross-reference entries for test patients.  

This patch corrects a problem when coding the 501 or MAS screen in
  the Load/Edit PTF Data [DG PTF SCREEN] option.

This patch fixes a problem with transmitting HL7 messages for outpatients,
and corrects a system error when transmitting PTF census records to AAC.

1010 EZ PHASE 3.0

See National Patch Module for a description of the changes incorporated in
this patch.

See National Patch Module for description of changes included in this
patch.

This patch corrects a problem when timing out while registering collateral
patients, when adding a patient using Fileman and updating the name
components, and when processing address data returned from the query
to the last site treated. 

This patch corrects a problem with the display of the alias SSN.

HURRICANE KATRINA - EMERGENCY RESPONSE INDICATOR

This patch corrects problems when adding patients.

The changes included in this patch are described in the description
of patch DG*5.3*137 in the National Patch Module.

Please refer to patch DG*5.3*684 in the National Patch Module for a
complete description of this patch.

The purpose of this patch is to replace the PIVOT FILE DAYS TO RETAIN 
field (#391.702) in the MAS PARAMETERS (#43) file.
It was discovered that field 391.702 was pointing to the same node(HL7)
and piece(4) as the CREATE MFU FOR RAI MDS field (#391.7014).

Prevents error in MPI's Patient Data Review and cleans up file #391.98.

 REQUIRED MEANS TEST WARNING DOESN'T SHOW IN CPRS

NEW TRIGGER AND PID SEGMENT FIX
Refer to patch DG*5.3*648 in the FORUM Patch Module for a complete
description.

This patch covers updating of patient name components.

This patch corrects problems caused when Patient Treatment file (#45)
records are deleted.

See NPM for description.

Add cross-references to support OEF/OIF data extraction; see the
National Patch Module for a complete description.

HANDLING HL ENCODING CHAR IN PID 2.4
Refer to patch DG*5.3*698 in the FORUM Patch Module for a complete 
description.

 Permanent Address abort still updating DT/TM Stamp

Please refer to patch DG*5.3*554 in the National Patch Module for a
complete description of this patch.

Please refer to patch DG*5.3*679 in the National Patch Module for a
complete description of this patch.

This patch disables the HL7 subscription
control functionality, and fixes the SERVICE ENTRY DATE [LAST] (#.326) 
field display when using the Remote Patient Data Query.

Patch contains functionality for GUI Patient Lookup.

The changes included in this patch are described in the description
of patch DG*5.3*141 in the National Patch Module.

FIX MEANS TEST DISPLAY

This patch adds the HOSPICE Nursing Home Care as a new specialty to
the SPECIALTY (#42.4) file. An entry in the FACILITY TREATING SPECIALTY (#45.7)
is optional.

This patch updates the Multiple Birth Indicator and temporary address,
corrects a date validation API, updates the patient name components and
corrects the alias SSN.

FIX FOR MASTER PATIENT INDEX NAME SYNCHRONIZATION ISSUE
Refer to patch DG*5.3*711 in the FORUM Patch Module for a complete
description.

This patch fixes a problem with collateral patient names, the zip codes
of emergency contacts and designees, the data dictionary of the 
INPATIENT CPT CODE file (#46) and the 'Edit Census Date Parameters'
option.

See National Patch Module for description.

  This patch deals with non-VA PTF census problems, the inability to
select certain ICD9 codes on the 501 screen of PTF Load/Edit, and a 
system error when transferring patients. 

This patch allows the patient security check to account for proxy users,
and protects a system variable before displaying patient record flags.

Please refer to patch DG*5.3*718 in the National Patch Module for a
complete description of this patch.

Please refer to patch DG*5.3*673 in the National Patch Module for a 
complete description of this patch.

This patch fixes a problem with the combat vet field used in screen 801
in the PTF Load/Edit option, fixes the transmission date on retransmitted
transactions, permits closing a record when the patient has a single
legal name, and refines the handling of the PTF census date file.

See National Patch module for description.

  This patch permits deleting patient's middle name or suffix and 
 the multiple birth indicator (MBI).  It also will not consider an MBI
 change as part of a possible catastrophic edit.

Please refer to patch DG*5.3*689 in the National Patch Module for a 
complete description of this patch.

Add Field Triggers for ORU~Z07s

See the Patch Description in the Forum Patch Module for DG*5.3*716.

Undefined MERGE+39 Pgm DGENUPL4

IRR Method and Help Text Updates

Add ^ to file 408.31 field .23-SOURCE OF INCOME TEST and
the sites.  The only way to block the users from editing these
two fields is to change the data dictioanry to make the fields
un-editable.
field 2-PRIMARY INCOME TEST FOR YEAR
to maintain data integrity of the records in the Annual Means Test File
 
There are sites that are editing two fields using Fileman to allow
tests to be modified that should not be edited.  These fields are
PRIMARY INCOME TEST FOR YEAR (field 2) and SOURCE OF INCOME TEST
(field #.23) in the Annual Means Test file #408.31.  Some of the MT
Reverasals in IVM 2.9 are due to manual editing of these records at

Please refer to patch DG*5.3*650 in the National Patch Module for a
complete description of this patch.

 
Delete REQUIRED means test from deceased patients.

Please see National Patch Module for description.

Please refer to the National Patch Module for a description of this patch.

Please refer to the National Patch Module for a description of this patch.

This patch corrects a system error when adding rated disabilities,
data exceptions in the MPI for the "date last treated", printing of 
the full SSN on the G&L report, and not generating UR admission 
bulletins on ASIH transfers.  

TRIGGER FOR 1010EZ COMBAT AFTER 11/11/98

  This patch resolves problems related to the patient's address, the 
emergency contact work phone, the principal investigator report, 
and the patient name change bulletin.

POW STATUS NOT TRANSFERRING TO VETERAN'S ID CARD

This patch contain routines that have been modified
to call the Scheduling Encapsulation API SDAPI^SDAMA301
instead of referencing the global for appointment data retrieval. 
This patch also addresses the error handling when an error occurs.

See National Patch Module for description.

FIX UPLOAD OF CLAIM FOLDER LOCATION

STOP UPDATE OF ADDRESS IN PTF

 
 
DG INVALID STATE/COUNTY REPORT ERRORS AFTER INSTALL OF DG*5.3*694.

Please refer to the National Patch module for a description of the changes
included in this patch.

Fix IN1 segment builder

Add CHDR Security keys

This patch corrects certain dates in the PXRMINDX index,
an unnecesary "incomplete" message, and turns on audit for the ICN.

ENHANCEMENT TO VISTA PATIENT UPDATE MESSAGING
Refer to patch DG*5.3*707 in the FORUM Patch Module for a complete 
description.

This patch corrects DRG reports, PTF record search reports, the PTF close 
out edit for surgical codes, replaces a system error with an 
an error bulletin, and determines the proper variable to use
when doing certain ICD9 code lookups. 

1998 Means Test Threshold update patch.  See National Patch Module for
further details.

Please see the national patch module for a description of the changes
included in this patch.

Please refer to patch DG*5.3*761 in the National Patch Module for a
complete description of this patch.

UPDATE THE ALIAS MULTIPLE
Refer to patch DG*5.3*756 in the FORUM Patch Module for a complete
description.

Please see the national patch module for a description of the changes
included in this patch.

Please refer to patch DG*5.3*755 in the National Patch Module for a
complete description of this patch.

See National Patch Module for description.

This patch fixes an invalid input array entry
error that occurs when using the DGEN APPTS,NOT ENROLLED 
Upcoming Appointments without Enrollment option.

This patch replaces ^%DTC calls in VADPT* routines, references to HCFA, 
changes Widow/widower entry and corrects Eligibility Inquiry and mothers 
maiden name in PID segment.

This patch corrects the following:
Problem deleting PTF record when procedure has been deleted.
SCI output on Registration view to show full value
Default city choice in Registration to use full City name instead of 
abbreviation.

This patch fixes the listing of future/pending appointments on screen 14
of the Load/Edit patient data option.

This patch fixes the request of requiring the Source of Notification field
to be answered when a Date of Death is issued. 

DISABLE SOME Z07 CONSISTENCY CHECKS

Correcting missing Treating Specialty code in PTF Census transmissions.

See the National Patch Module (NPM) entry for a description of the changes
included with this patch.

See national patch module for complete description.

This patch addresses the following:
- corrects hours and minutes of the 'date last treated' for MPI
- requires precise dates for the Confidential Address Start and
  End dates
- retires the Patient Data Review (PDR) functionality in MPI   

Update to RELIGION file (#13).

This patch changes the default for the prompt "Do you wish to proceed
with the Means Test" from "YES" to "NO" when the prompt displays for option
options in the pre-registration menu.

This patch allows for data entry changes to correctly calculate bilateral 
knee and hip procedures.

 
Modified DISCHARGE DATE field (#70) and DISCHARGE SPECIALTY 
field (#71) of the PTF file (#45).
Updated technical descriptions for LOSING SPECIALTY field (#2) and the
MOVEMENT DATE field (#10) of the 501 multiple subfile (#45.02) of the PTF
file (#45).
Updates eligibility for an ASIH movement.  
Recreated the trigger for the LOSING SPECIALTY field (#2) of the 
501 multiple subfile (#45.02).  

  This patch addresses issues regarding the patient sensitivity/security
check, and the check for same last name and last 4 digits of SSN.

The changes included in this patch are described in the description
of patch DG*5.3*91 in the National Patch Module.

VIC HL7 LOGICAL LINK UPDATE - VIC NCMD
This Routine will only be run once.
 
PURPOSE: Update 'VIC NCMD' Logical Link for TCP/IP transmissions.  The 
current definition has a hard coded IP Address.  The existing Data will 
be removed and replaced by a DNS domain name in HLCS(870
 
The routine will find the IEN by looking at HLCS(870,'B','VIC NCMD',ien
Then the first data piece ('^') will be updated with the new data.
 

This patch makes field #6 USE FOR Z07 in file #38.6 IN
INCONSISTENT DATA ELEMENTS undeditable. It also updates the
data to correspond with the values that were sent out with the
VHA Directive.
 
This patch also modifies the VADPT0 routine.

PTF PSEUDO DISCHARGE FIX, MISSING ROUTINE FIX, MAILMAN MESSAGE FIX FOR PDX

Patch for ENROLLMENT VISTA CHANGES TO SUPPORT ESR (RELEASE 2).
 
See the Patch description for DG*5.3*688 as documented in the Forum Patch 
Module.

PROJECT 112/SHAD.
 
PIMS REGISTRATION
        PTF CHANGES

See National Patch Module for description of changes included in this
patch.

DG*5.3*786 does the following:
- modifies the ROUTING LOGIC in the DG HOME TELEHEALTH ADT-A03 CLIENT 
  protocol. 
- modifies the DNS DOMAIN for the HL7 LOGICAL LINKS for HOME 
  TELEHEALTH.
- recompiles the input template for the 501 screen.    
- modifies the data dictionary for the CPT MODIFIER field (#.03) in the
  INPATIENT CPT CODE file (#46). 
- corrects routine DGRPCF to increment the file header for the 
  INCONSISTENT DATA file (#38.5) only when a record is added.
- modifies routines DGRRLUA and DGRRLU6 to account for providers whose
  names contain apostrophes.
- modifies the ADGRU09 cross reference in the PATIENT MOVEMENT file
  (#405) to fix a problem when using ^DIK to delete certain records.

Please refer to the patch description in this patch on FORUM

This patch corrects the erroneous calculation of the CV End date on the
Unsupported CV end date report.  The code was changed from calculating a
2 year window to calculating a 3 or 5 year window.  Please refer to the
national patch module on Forum for a full description of the problems
corrected with this patch.

 
ADD FILE 2 X-REFS: 
EMAIL ADDRESS, CELL PHONE NUMBER, AND BAD ADDRESS INDICATOR
Refer to patch DG*5.3*712 in the FORUM Patch Module for a complete
description.

This patch addresses a request which supports the Pharmacy Benefits
are accessed and updated. The six fields are:
   SEX  (#.02)
   PRIMARY ELIGIBILITY CODE (#.361)
   CURRENT MEANS TEST STATUS (#.14)
   CURRENT ENROLLMENT (#27.01)
   PROVIDER (#.104)
   DATE ENTERED INTO FILE (#.097)
Management (PBM)Extracts Enhancement #3 project. In order to allow the
retransmission of only those patients who have had demographic updates,
Outpatient Pharmacy V. 7.0, Inpatient Medications V. 5.0, Registration
V. 5.3 and Pharmacy Data Management V. 1.0 were modified to build an
entry for re-transmission in PBM PATIENT DEMOGRAPHICS File #59.9.
 
This patch will introduce six (6) new fields to the DG Field Monitor Event
driver. This will enhance the PBM extract process anytime these fields

This patch corrects the following:
Ensures that the Registration package will store long patient 
names properly. 
Catastrophic edit warning will not be displayed if only the 
pseudo Social Security Number is being changed. 
Catastrophic edit warning will be displayed if two or more edits to any
potential CE field(patient name, ssn, dob, sex) have been done on the 
same day.

TREATING SPECIALTY UPDATES FOR FY10

This build contains the changes made to the registration routines for the
Scheduling IEMM patch SD*5.3*66.

FIXES FOR PTF 501 DISPLAY AND WAIT LIST ERROR

This patch corrects:
1. Correcting Record index of 3 fields in patient file
   to use DA instead of DFN.
2. Determination of radiation method for SVC^VADPT API.
3. Change Patient Type Update[DG PATIENT TYPE PARAMETER EDIT] option to 
   prevent users from adding a new patient type.

Fix errors caused by DGRPCE1 and DGRPE1.

TREATING SPECIALTY SERVICE UPDATE

2010 Means Test Threshold Updates

TREATING SPECIALTY UPDATES

 
VETERAN ON-LINE APPLICATION (VOA) ENHANCEMENT
Refer to patch DG*5.3*800 in the FORUM Patch Module for a complete
description.

-WHO ENTERED PATIENT field (#.096) in the PATIENT FILE (#2) is null or 
 incorrect.   

See NPM for description.

This patch corrects a problem where a consistency check error for error
55 is displayed when a patient actually HAS income data on file for the year.
Please refer to the National Patch Module (NPM) for a complete
description of the contents of this patch.

 
MPI SUPPORT FOR JOINT VA/DOD MEDICAL CENTER  
Refer to patch DG*5.3*821 in the FORUM Patch Module for a complete
description.

Modifications to Patient Registration to prevent the 'Edit a Means Test'
prompt if the on file MT belongs to another site.

 This patch will allow a PTF record for a FEE BASIS patient with a means
 test status of "Required" to be closed and transmitted to Austin. It will
 also allow setting of 501 transmissions flag for PTF's with more than 25
 records.

The patch is to fix an error with the IF statement logic in the Vista 
PIMS VAFHAPV1 API.

Cannot view patient registration data for patient on LINUX OS.

2010 Means Test Threshold Updates

SUPPORT FOR NATIONAL HEALTH INFORMATION EXCHANGE
Refer to patch DG*5.3*825 in the FORUM Patch Module for a complete
description.

EDR shutdown.
See NPM for description.

 This patch will change the PTF(Patient Treatment File) Census 
 closeout date from the 14th day of the month following the
 census date to the 7th.

This patch prevents registration from updating the IVM means test status.
Please refer to the National Patch Module (NPM) for a full description of
this patch.

This patch will correct the "before DOB" on the Potential Catastrophic 
Edit of Patient Identifying Data alert. It will also add ED observation 
for API to ask readmit question.

This patch will correct the following issue:
time value when entering the date of death.
 
Patch Components
================
 
Files & Fields Associated:
 
File Name (Number)         Field Name (Number)  New/Modified/Deleted
------------------         -------------------  --------------------
PATIENT       (2)          DATE OF DEATH (.351)  Modified 
 
The [DG CO-PAY TEST FUTURE LIST] Copay Exempt Test Needing Update 
At Next Appt report menu option is incorrectly including future-appointed 
patients whose latest, expired or soon-to expire Co-pay Exemption Tests 
have been converted by IVM.  These cases need to be excluded from the
report.
 
The [DG DEATH ENTRY] Death Entry option is not allowing the entry of a

This patch fixes the listing of a patient on the call list when the patient
is scheduled for an appointment in a non-count clinic.

TREATING SPECIALTY UPDATES

DG*5.3*787 patch corrects two SAC (Standards and Conventions) violations.

This patch contains VistA changes to support technology and business 
changes that are occurring with the implementation of Public Law 111-163.

This patch has enhancements to the Veterans Health Information Systems 
Veteran actually receives care. As a result, the value of the preferred 
facility assignment is limited. CR 9620 specifies changes needed in the 
way that a Veteran's Preferred Facility is entered and stored in ESR and 
VistA. These changes are necessitated by the requirements of the 
Veterans Benefit Handbook Project.
 
 
***NOTE***
This patch needs to be released and loaded at the same time as ESR 3.5.
 
and Technology Architecture (VistA) system to support technology and 
 
This patch modifies the Registration v5.3 application as described below:
 
1. Modify VistA to lock the Preferred Facility to prevent users from 
changing the field once ESR has assigned it.
 
2. Modify VistA to display to a VistA user the following help text when 
a VistA user attempts to edit the Preferred Facility field.
 
    "Preferred Facility can only be edited/modified by an ESR user, 
business changes that are occurring with the implementation of the 
     please contact HEC to request changes/edits"
 
3. Modify VistA to upload SOURCE DESIGNATION from ESR. Source 
Designation field (#27.03) is automatically assigned by the ESR or VistA
system and is a new field in the PATIENT file (#2). Valid Source
Designation's are:
        a. V = VistA
        b. E = ESR
        c. PA = PCP Active
        d. PI = PCP Inactive
Enrollment System Redesign (ESR) Preferred Facility project, Change 
 
4. Modify VistA to allow a user to ONLY change Preferred Facility if a
veteran's PF Source Designation is PCP Inactive (PI) or VistA (V).
 
5. Modify VistA to trigger a Z07 HL7 message to be sent to ESR when a 
Preferred Facility has been assigned/modified.
 
6. Modify VistA to store the Preferred Facility and associated Source
Designation in the Patient file (#2). If VistA receives a Z11 HL7 
message with Preferred Facility, display what ESR sent in the Patient
Request (CR) 9620.
Enrollment [DGEN PATIENT ENROLLMENT] menu.  If no Z11 has been received, 
display the most recent Preferred Facility assigned.
 
7. Preferred Facility shall be changed to a required field and must be 
entered by a VistA user when the veteran is first registered/enrolled in 
the VA Medical Center.
 
Currently, a Veteran selects a Preferred Facility (PF) at the time of 
application for enrollment. The Preferred Facility information is rarely 
updated by the Veteran and is not linked to the location where the 

See National Patch Module for description.

1. This patch introduces an additional check on the Dependent's Effective
don't own.  The original check did not differentiate between parent and
divisions of the parent.
Date when entering a new dependent using the Spouse/Dependent Add ("DA")
protocol on the Family Demographic Data, Screen <8> in the Load/Edit
Patient Data (DG LOAD PATIENT DA TA) option on the Registration Menu.
This check will prevent the effective date from being prior to the
Veteran's Date of Birth.
 
2. This patch adjust's a check introduced with DG*5.3*799 which was to
prevent sites from editing MT's through the registration menu's that they

Distributes API's for Patient Record Flag retrival in support of
High Risk Mental Health Initiative

Military Service Data Sharing (MSDS) project

MESSAGING ENHANCEMENTS FOR NEW FIELDS
 
Refer to patch DG*5.3*837 in the FORUM Patch Module for a complete
description.

This patch will add two new entries to the HL LOGICAL LINK (#870)
file.  The entries are for two new vendors, Authentidate and Cardiocom.

TREATING FACILITY LIST (#391.91) FILE ISSUES
 
Refer to patch DG*5.3*856 in the FORUM Patch Module for a complete
description.

This patch contains VistA changes to support technology and business
changes that are occurring with the implementation of Pension Data 
Sharing.

1. Modify search to insure that Secondary Diagnosis Codes 10-13 in
   Patient Treatment File (PTF) will be searched when running option
   'Diagnostic Code PTF Record Search'.
 
2. XINDEX errors caused by $N(ext) command in cross reference triggers in
   Patient Movement File (#405) which are in violation of SACC
   (Standards & Conventions Committee) standards.

See NPM for description.

This patch contains VistA changes to support technology and business
changes that are occurring with the implementation of Permanent
Address Verification.

This patch addresses 3 issues:
(#391) 
for EDIT MISSING DATA? (#102) 
 
There is a misspelled word in data dictionary help text in the PATIENT 
File (#2) 
for CANCELLATION REMARKS (#.98) 
 
The NAME field of the PATIENT TYPE File (#391) is allowed to be changed.
 
There is a misspelled word in database help text in the PATIENT TYPE File 

Patch DG*5.3*866 addresses the following issue:
 
        1.  Pseudo Social Security Number Calculator allows duplicates.
            This is creating an issue for the New Born Project with
            with multiple births and bill processing.

DGPF NEW CAT1 FLAG AND CONVERSION

Patch DG*5.3*870 modifies 2 Registration routines to accommodate the new  
International Classification of Disease Tenth Revision (ICD10) code 
structure.  The ICD10 new code structure is being expanded and allowing 
for letters and numbers to be used.

Patch DG*5.3*868 addresses the following issue:
 
       1.  Inactive International Classification of Diseases (ICD) code 
           cannot be assigned to Patient Treatment File (PTF)
           due to system sending date and time of movement.
           Date is only required information.

VIC 4.02 MPI INTEGRATION
Refer to patch DG*5.3*857 in the FORUM Patch Module for a complete
description.

This patch addresses 3 issues:
   PATIENT DATA] Option.
 
1. Medicaid inconsistency check isn't working when a field consistency
   edit check that is processed prior to it is set to DON'T CHECK. 
2. When the SOCIAL SECURITY NUMBER field (#.09) of the PATIENT file (#2) 
   is updated, the PRIMARY LONG ID field (#.363) and the PRIMARY SHORT ID
   field (#.364) of the PATIENT file (#2) are not updated accordingly. 
3. An undefined error is occurring during an attempt to close a Patient
   Treatment File (PTF) (#45) record via LOAD/EDIT PTF DATA [DG LOAD 

This build contains the changes made as a result of SD*5.3*143.  See that
description for details.

MASTER VETERAN INDEX VISTA ISSUES - ITERATION 10
Refer to patch DG*5.3*863 in the FORUM Patch Module for a complete
description.

This patch addresses 4 issues:
In PATIENT file (#2), the trigger is not working correctly for
fields ADDRESS CHANGE SOURCE (#.119), CELLULAR NUMBER CHANGE 
SOURCE (#.1311), PAGER NUMBER CHANGE SOURCE (#.1313), and EMAIL ADDRESS
CHANGE SOURCE (#.137).

                           ***NOTICE***
Registration system (DG), Fee Basis System (FB), and Integrated Billing
 TYPE OF PATIENT (#391)          NAME (#.01)           New Data content
 (Single new record added "NEWBORN OF VETERAN")        No Data Dictionary
                                                       changes
 
 VA ADMITTING REGULATION (#43.4) NAME (#.01)           New Data content
 (Single new record added "NON-VA FOR FEMALE VET+NEWBORN")
                                                       No Data Dictionary
                                                       changes
 
 INCONSISTENT DATA ELEMENTS (#38.6)                    New Data content
(IB).
 Two new records added:
 313    NEWBORN REQUIRES SPONSOR
 314    NEWBORN NEEDS ELIGIBLE SPONSOR                 No Data Dictionary
                                                       changes
 
 
 Forms Associated:
 
 Form Name                File #                  New/Modified/Deleted
 ---------                ------                  --------------------
 
 N/A
 
 Mail Groups Associated:
 
 
 Mail Group Name                                  New/Modified/Deleted
 ---------------                                  --------------------
 N/A
 
 Options Associated:
Below is a list of all the applications involved in this project along with
 
 Option Name                    Type              New/Modified/Deleted
 -----------                    ----              --------------------
 N/A
 
 Protocols Associated:
 
 Protocol Name                                    New/Modified/Deleted
 -------------                                    --------------------
 N/A
their patch number:
 
 Security Keys Associated:
 
 Security Key Name
 -----------------
 N/A
 
 Templates Associated:
 
 Template Name       Type      File Name (#)     New/Modified/Deleted
 
 -------------       ----      -------------     --------------------
 
 
 Additional Information:
 
 
 New Service Requests (NSRs):
 -----------------------------
 NSR 20100901
 
    APPLICATION/VERSION                                   PATCH
 Patient Safety Issues (PSIs):
 ------------------------------
 N/A
 
 Remedy Ticket(s) & Overviews:
 -----------------------------
 N/A
 
 
 Test Sites:
    ---------------------------------------------------------------
 -----------
 
 LEXINGTON
 PUGET SOUND
 
 
Documentation Retrieval Instructions:
-------------------------------------
Updated documentation describing the new functionality introduced by this
patch is available.
 PATIENT REGISTRATION (DG) V 5.3                       DG*5.3*867
 
The preferred method is to FTP the files from ftp://download.vista.domain.ext/
This transmits the files from the first available FTP server. Sites may also
elect to retrieve software directly from a specific server as follows:
 
  Albany         ftp.fo-albany.domain.ext  <ftp://ftp.fo-albany.domain.ext>
  Hines          ftp.fo-hines.domain.ext   <ftp://ftp.fo-hines.domain.ext>
  Salt Lake City ftp.fo-slc.domain.ext     <ftp://ftp.fo-slc.domain.ext>
 
 The documentation will be in the form of Adobe Acrobat files.
 FEE BASIS (FB) V 3.5                                  FB*3.5*146
 
 Documentation can also be found on the VA Software Documentation Library
 at: http://www4.domain.ext/vdl/
 
 File Description                          File Name             FTP Mode
 --------------------------------------------------------------------------
 Fee Basis User Manual                     fb3_5um.pdf           Binary
 PIMS v5.3 ADT User Manual Registration    dg_5_3_reg_um.pdf     Binary
 
The procedure guide, Care for Newborn of Women Veterans, located at
Users should be made aware that processing of Newborn claims must ONLY be
 INTEGRATED BILLING (IB) 2.0                           IB*2.0*499
http://nonvacare.hac.domain.ext/policy-programs/procedure-guides.asp,
should be distributed to those personnel registering newborns and/or
processing newborn claims.
 
 
 Patch Installation:
 
 
Pre/Post Installation Overview
------------------------------
 
There are three post installation routines associated with this patch DG867PO,
FB146PO, and IB499PO. These routines primarily serve as filters for the data
transmitted to the appropriate files listed above, so that only the intended
data is delivered. The only exception is the IB499PO routine which
programmatically makes an addition to the help text of the FAMILY PREFIX field
(#.03) in the SPONSOR RELATIONSHIP file (#355.81). These post installation
routines may be deleted after successful installation of the NEWBORN DG FB IB
BUNDLE 1.0
 
Installation Instructions
The patches (DG*5.3*867, FB*3.5*146, and IB*2.0*499) are being released in the
-------------------------
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.
 
FB*3.5*147 is a required patch and must be installed before DG*5.3*867.
 
DG*5.3*867 is one of three patches for this release (including FB*3.5*146 and
IB*2.0*499). The patches will be installed as a bundle in the following order:
 
Kernel Installation and Distribution System (KIDS) multi-build distribution
1) DG*5.3*867
2) FB*3.5*146
3) IB*2.0*499
 
 
 Pre-Installation Instructions
 -----------------------------
 1.  OBTAIN PATCHES
     --------------
Obtain the host file NEWBORN_1_2_DG_FB_IB.KID which contains the following
NEWBORN DG FB IB BUNDLE 1.0
patches:
 
 DG*5.3*867
 FB*3.5*146
 IB*2.0*499
 
Sites can retrieve VistA software from the following FTP addresses. The
preferred method is to FTP the files from:
 
                     download.vista.domain.ext
 
 
This will transmit the files from the first available FTP server. Sites may
also elect to retrieve software directly from a specific server as follows:
 
        Albany                  ftp.fo-albany.domain.ext
        Hines                   ftp.fo-hines.domain.ext
        Salt Lake City          ftp.fo-slc.domain.ext
 
The NEWBORN_1_2_DG_FB_IB.KID host file is located in the anonymous.software
directory. Use ASCII Mode when downloading the file.
The purpose of the Caregivers: Newborn Claims Processing Enhancement Project
 
 2.  START UP KIDS
     -------------
     Start up the Kernel Installation and Distribution System Menu option
     [XPD MAIN]:
 
          Edits and Distribution ...
          Utilities ...
          Installation ...
 
is to enhance VistA Fee Basis application in support of compliance with
     Select Kernel Installation & Distribution System Option: Installation
                                                              ---
          Load a Distribution
          Print Transport Global
          Compare Transport Global to Current System
          Verify Checksums in Transport Global
          Install Package(s)
          Restart Install of Package(s)
          Unload a Distribution
          Backup a Transport Global
Public Law 111-163, the Caregiver and Veterans Omnibus Health Services Act
 
     Select Installation Option:
 
 3.  LOAD TRANSPORT GLOBAL FOR MULTI-BUILD
     -------------------------------------
     From the Installation menu, select the Load a Distribution option.
 
     When prompted for "Enter a Host File:" Enter the full directory path
     where you saved the host file NEWBORN_1_2_DG_FB_IB.KID
     (e.g., SYS$SYSDEVICE:[ANONYMOUS]NEWBORN_1_2_DG_FB_IB.KID)
of 2010. This law makes changes to sections of Title 38, United States Code
 
 When prompted for "OK to continue with Load? NO//", Enter "YES."
 
     The following will display:
 
       Loading Distribution...
 
    NEWBORN DG FB IB BUNDLE 1.0
    DG*5.3*867
    FB*3.5*146
entered in VistA. No entry in FBCS should be performed.
to furnish health care services to a newborn child of a Woman Veteran who
    IB*2.0*499
    Use INSTALL NAME: NEWBORN DG FB IB BUNDLE 1.0 to install this
    distribution.
 
 4.  RUN OPTIONAL INSTALLATION OPTIONS FOR MULTI-BUILD
     -------------------------------------------------
     From the Installation menu, you may select to use the following options
(when prompted for the INSTALL NAME, enter NEWBORN DG FB IB BUNDLE 1.0
 
     a.  Backup a Transport Global - This option will create a backup
is receiving maternity care furnished by the Department of Veterans Affairs
         message of any routines exported with this 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 this patch
         is installed.  It compares all components of this patch
         (routines, data dictionaries, templates, etc.).
     c.  Verify Checksums in Transport Global - This option will allow
         you to ensure the integrity of the routines that are in the
         transport global.
 
(VA) for not more than seven days after the birth of the child.
 5.  INSTALL MULTI-BUILD
     -------------------
   This is the step to start the installation of this KIDS patch.  This will
   need to be run for the NEWBORN DG FB IB BUNDLE 1.0
 
    a.  Choose the Install Package(s) option to start the patch
         install.
    b.  When prompted for the "Select INSTALL NAME:" enter
          NEWBORN DG FB IB BUNDLE 1.0
    c.  When prompted "Want KIDS to INHIBIT LOGONs during the install?
 
         NO//", answer NO
    d.  When prompted "Want to DISABLE Scheduled Options, Menu Options,
         and Protocols? NO//", answer NO
    e.  When prompted "Device: HOME//", enter HOME
         to display the Install message on the screen (or enter the device
         you want to print the Install message). You may queue the
         install if you wish.
 
 
Post-Installation Instructions
The scope of these enhancements is to capture information on healthcare
------------------------------
 
*** IMPORTANT NOTE ***
Please note there are three post installation routines that may be deleted
after successful installation of the NEWBORN DG FB IB BUNDLE 1.0. These are:
 
DG867PO
FB146PO
IB499PO
services provided to newborn children of Women Veterans. Affected functions
include eligibility determination, enrollment and registration, documentation
of referrals and authorization for care, claims processing, and payment. Only
modification to the Fee Basis (FB) and the Registration (DG) packages are
necessary to meet the requirements of this enhancement. The Integrated
                           ***********
Billing (IB) Patch is included to provide required data for the Fee Basis
install to reference.
 
 
The primary purpose of this enhancement is to allow the Electronic Filing of
Newborn claims.
 
Functional Description
------------------------------
The following features and functions have been added to the Fee Basis workflow
This patch, along with FB*3.5*146 and IB*2.0*499, is being released as a
process applying to both Civil Hospital and Medical Fee:
 
 1. A new Patient Type of NEWBORN OF VETERAN has been added to the TYPE OF
PATIENT file (#391). This new selection will be available on Registration
Screen <7>.
 
 2. A sponsor is required for all Newborns determined by having the DOB less
than one (1) year from the present date. An inconsistency check has been added
to check the presence of a sponsor. If an inconsistency is found the
inconsistency check will prompt the user to return to Screen <15> in
bundle, and all three will be automatically installed in the correct order.
registration to enter a Sponsor.
 
 3. All Sponsors for Newborns must be listed as eligible for care. An
inconsistency check will check the status of the Sponsors Eligibility. The
check will trigger if the Sponsor has no Eligibility status.
 
All other statuses (i.e. Pending Verification, Verified, and Pending
Re-verification) are acceptable.
 
 4. Fee Authorization dates associated with Newborns have checks in place to
 
not allow Authorization dates that fall outside the accepted range of Newborn
Authorization. The range is DOB to DOB+7. The system will warn the user and
not accept an Authorization date that falls outside the appropriate range for
a Newborn.
 
 5. When a Veteran Mother of a Sponsored Newborn is reviewed in the
Registration screens, Screen <15> will display the Newborn(s), with the
additional header of "Sponsored Newborn".
 
 6. The FAMILY PREFIX "NB Newborn of Vet" has been added to the Help text in
This patch has enhancements that extend the capabilities of the Veterans
the FAMILY PREFIX field (#.03) in the SPONSOR RELATIONSHIP file (#355.81)
 
 8. The following default values were added when entering a Newborn with a
date of birth of less than one (1) year from present date. Defaults will 
only  be assigned when specified screens are accessed during the
registration process: PATIENT DATA, SCREEN <2> Marital field is defaulted
to NEVER MARRIED. APPLICANT/SPOUSE EMPLOYMENT DATA, SCREEN <4> Status
field is defaulted to NOT EMPLOYED. FAMILY DEMOGRAPHIC DATA, SCREEN <8>
Married Last Year field is defaulted to NO.
 
Health Information Systems and Technology Architecture (VistA) Patient
 
 Patch Components
 ================
 
 
 Files & Fields Associated:
 
 
 File Name (#)                   Field Name (#)        New/Modified/Deleted
 -------------                   --------------        -----------------

Please refer to the National Patch Module for the detail of this 
patch build.

Patient Record Flag - Missing Patient (introduction)

VIC CARD ENHANCEMENT
Refer to patch DG*5.3*874 in the FORUM Patch Module for a complete
description.

This patch contains VistA changes to support technology and business
changes that are occurring with the implementation of Discontinue
Annual Means Test Renewal.

This patch addresses the following:
 
- Resolves an <UNDEFINED> error that occurs when editing the PRIMARY 
  PHYSICIAN (#.08) field in the PATIENT MOVEMENT (#405) file.
 
- Updates the input transform and executable help text for the ALL OTHER 
  INCOME (#.17) field in the INDIVIDUAL ANNUAL INCOME (#408.21) file.

This build makes the ICD-10 changes to PTF for the Clinical Reminders
Index.

See National Patch Module for description.

This is the ADT ICD-10 Remediation patch.

Registration changes for the VIA Project. See patch description for 
details.

MASTER VETERAN INDEX VISTA ISSUES - ITERATION 12
Refer to patch DG*5.3*876 in the FORUM Patch Module for a complete
description.

The VistA integration Adaptor (VIA) project requires access to certain 
Remote Procedure Calls (RPCs) that are part of the REGISTRATION package. 
The purpose of this patch is to publish one additional RPC allowing access
for use by VIA by setting the field APP PROXY ALLOWED field (#.11) of the 
REMOTE PROCEDURE file (#8994) to YES. This patch deals specifically with
the VAFCTFU CONVERT ICN TO DFN RPC.

Patch DG*5.3*893 addresses the following 3 issues:
  non-count
 
- The Call List [DGEN NEACL MGT RPT1] has a bug when comparing the 
  patient's preferred facility to the selected facility. 
  It cause them not to match if the preferred facility code begins 
  with 4 numerics instead of 3.
 
- Patients whose first enrollment was before the install date of patch
  DG*5.3*779 do not have an AEAR index on the APPOINTMENT REQUEST ON 
  1010EZ (#1010.159) field in the PATIENT (#2) file
 
- The Tracking Report [DGEN NEACL MGT RPT2] has a bug which causes the API
  that gathers appointments to only return one appointment. This can cause
  a blank appointment date to display if the first appointment is a 

The Means Test thresholds for Calendar Year 2015 are distributed with this
       MT COPAY EXEMPT 1ST DEP INCOME (#3) - $6,396
       MT COPAY EXEMPT INCOME PER DEP (#4) - $2,198
       THRESHOLD PROPERTY (#8) - $80,000
       CHILD INCOME EXCLUSION (#17) - $10,300
 
In addition, this patch will update the following fields in the 
PARAMETERS file (#8989.5) for Income Year 2014 to:
 
       DGMT MAPR GLOBAL RATE         5         
       DGMT MAPR 0 DEPENDENTS        12868
patch. The post-installation routine, DG53910P, will create a new subentry
       DGMT MAPR 1 DEPENDENTS        16851
       DGMT MAPR N DEPENDENTS        2198
 
This patch, DG*5.3*910 is one of three VistA 2015 threshold patches. It 
updates the thresholds for the Means Tests and the Maximum Annual Pension 
Rate. Patch EAS*1.0*125 will address the annual updates for the GMT 
Thresholds and patch IB*2.0*540 will address the annual updates for the 
Pharmacy Copay Thresholds.
(or replace an existing one) for calendar year 2015 in the MEANS TEST DATA
(#250) multiple field of the MAS PARAMETERS (#43) file. Six subfields
within the multiple will be updated with the new Means Test threshold data
values as follows:
 
       MEANS TEST DATA (#.01) - 2015
       MT COPAY EXEMPT VET INCOME (#2) - $31,978

Patch DG*5.3*859 addresses an issue with the DG Home Telehealth mail 
alerts that users receive when an HL7 message does not receive the
proper acknowledgement and an error alert is created.  Users are finding
it difficult to research the alert received without more information 
included in the message.

Patch DG*5.3*872 addresses 2 issues:
 
       1.  APPOINTMENT TYPE SUB-CATEGORY field (#24) of the APPOINTMENT 
           sub-file (#2.98) of the PATIENT file (#2) is not assigned
           properly.
       2.  Patient Address Update option is not displaying correctly.

Patch DG*5.3*895 addresses 2 issues:
      
 1.)  Deletion of admission can cause orphaned nodes
 2.)  Inconsistency 55 issue with service connected veterans who agree to 
      copay, but decline to provide income data

See National Patch Module (NPM) for a description of the changes included
with this patch.

The changes included in this patch are described in the description
of patch DG*5.3*157 in the National Patch Module.

This patch addresses 4 issues:
patch, DG*5.3*93
 
4. DRG Frequency Report is not showing all patients in the Service 
category.
 
1. Bad Address Indicator is not working as the Help prompt suggests.  
User needs to manually remove the indicator when entering changes. 
 
2. SAC violation in Patch DG*5.3*864, a non-incremental lock was 
introduced.
 
3. User manual needs updated to reflect functionality changes from prior 

 
Patch DG*5.3*892 addresses 3 issues:
      
 1.)  Undefined error when entering Confidential Address
 2.)  PRF Assignment Action Not Linked Report issue
 3.)  Documentation change needed for MISSING PATIENT PRF

After the installation of the DG*5.3*850 patch, sites reported these 
   INQUIRY] a hard error occurs.
three issues that are being fixed with this patch:
 
1) The Census Status Report [DGPT CENSUS STATUS REPORT] is reporting the
   admission ward instead of the last movement ward.
2) When entering a movement for a Post-Vietnam P.O.S. and the SW Asia
   Service flag has been set, a prompt for establishing the SW Asia
   condition will cause a hard error when answered.
3) When performing an inquiry in option MPCR INQUIRY [DGPT MPCR

This patch replaces CD STATUS DIAGNOSES, CD STATUS PROCEDURES and CD 
STATUS CONDITIONS with CD DESCRIPTORS, thus eliminating the use of ICD 
and CPT codes for qualifying CD Reasons. Six new descriptors with a TYPE 
of "DE" are added to the Catastrophic Disability REASONS file  #27.17.

Please refer to DG*5.3*884 in the National Patch Module for a description
of this patch.

MASTER VETERAN INDEX VISTA ISSUES - ITERATION 13
Refer to patch DG*5.3*902 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*897 addresses one issue:
 
       1.  Patient File Update Utility is not dinuming patients with 
           multiple races correctly.

ENTERPRISE REGISTRATION - ITERATION 14
Refer to patch DG*5.3*915 in the FORUM Patch Module for a complete
description.

This patch contains VistA changes to support technology and business
changes that are occurring with the implementation of the Email Address 
Indicator project.

The Health Eligibility Center (HEC) requested modifications to the 
The following are the new guidelines on whether a patient means test is 
current.
 
1. The Means Test Effective Date is between (inclusive): 1/2/2012 and 
   12/31/2012
2. The Mean Test Effective Date is greater than 1/1/2013 AND has a MT
   Status of MT Copay Exempt, GMT Copay Required, or Pending Adjudication
3. The MT Status equals MT Copay Required
4. The MT Status equals No Longer Required
5. The Means Test Effective Date is not a future date
Enrollment System (ES) and VistA Registration, Enrollment and Eligibility 
(VistA REE) software to support the requirements of the Means Test Report 
for ES project 4.0.  
 
The new requirements check whether the patient means test is current or  
not.  If the means test is current than the patient record is not 
displayed.  
 

The changes included in this patch are described in the description
of patch DG*5.3*143 in the National Patch Module.

 *************************************************************************
 *************************************************************************
  
 The Health Eligibility Center (HEC) requested modifications to the 
 Enrollment System Redesign (ESR) and VistA Registration, Enrollment and
 Eligibility (Vista REE) software to support the requirements of the
 Health Benefit Plans project.
  
 This patch modifies the Registration v5.3 application as described below:
  
   --   Create a new file containing the Health Benefit Plans and their
 Note:  This patch is being released in support of the Enrollment System
        expanded descriptions.
   --   Modify Register a Patient [DG REGISTER PATIENT], 
        Load/Edit Patient Data [DG LOAD PATIENT DATA] and 
        View Registration Data [DG REGISTRATION VIEW]
        to allow user to view HBP profile for a veteran.
   --   Display expanded help text for HBP
   --   Store all history of assignments for HBP and be able to view
   --   Store data from the Z11 message when received from ES
   --   Create an API that will provide HBP information to Vista 
        downstream applications to include the HBP Name and HBP
        Re-design (ESR) Health Benefit Plans project.  DG*5.3*871 is
        Description.
        released in host file DG_53_P891.KID along with several other
        patches.
  
        It is imperative that this patch be installed no later than the
        compliance date.  Your understanding and support is appreciated.
 

*************************************************************************
 
This patch modifies the Registration v5.3 application as described below:
 
Create a new data dictionary question for Contributed to Spousal Support.
Create a new data dictionary question for Contributed to Child Support.
 
--  Health Eligibility Center (HEC) requested the Contributed to 
    Spouse and Contributed to Child field be converted to accept a True
    (Yes) or False (No) response instead of a dollar amount. This field  
    will be available to the user if the Lived with Patient Indicator
 Note:  This patch is being released in support of the Enrollment System
    is populated with a False (No) response. 
--  This patch will decommission the AMOUNT CONTRIBUTED TO SPOUSE (Field 
    #.07) and AMOUNT CONTRIBUTED TO CHILD (Field #.19) in the Income 
    Relation (File #408.22). The Means Test and Rx Copay Test will no 
    longer prompt for entry to these two fields.
--  This patch will add a new CONTRIBUTED TO SPOUSAL SUPPORT (Field #.21) 
    to the Income Relation File (File #408.22). The field will be a Y/N  
    or Null set. This patch will prompt for entry of this new field at 
    the appropriate point in the Means Test and Rx Copay test process.
--  Modified Z07 message builder to include the Contributed to Spouse
        (ES) 4.0 project.  DG*5.3*890 is released in host file
    indicator on the ORU Z07 ZIR segment.
    Added a trigger for an ORF Z07 message when a change is made to
    the Contributed to Spouse indicator.
        DG_53_P891.KID along with several other patches.
  
        It is imperative that this patch be installed no later than the
        compliance date.  Your understanding and support is appreciated.
 
 *************************************************************************

This patch modifies the Registration v5.3 application as described below:
     Mailgroup to notify select members that there has been a change in
     the Veteran's BT Financial Indicator status.
 
--   This patch will display a new Beneficiary Travel Financial Indicator
     on the Means Test and Copay Test overview screens. The BT Financial
     indicator will be sent from the Enrollment System and share with all
     sites of record when the Income Verification Matching (IVM)
     application has performed a Conversion and/or Reversal on an income
     test where the Veteran had a BT award prior to the IVM action. A
     bulletin will be generated and sent to the BT CLAIMS PROCESSING

This patch contains changes to the Date of Death application necessary to 
accomodate having the Master Veteran Index become the authoritative 
source for Date of Death data entry.

This patch, DG*5.3*922 is one of three VistA 2016 threshold patches. It 
updates the thresholds for the Means Tests and the Maximum Annual Pension 
Rate. Patch EAS*1.0*134 will address the annual updates for the GMT 
Thresholds and patch IB*2.0*557 will address the annual updates for the 
Pharmacy Copay Thresholds.

Patch DG*5.3*911 will address one issue:
Integrated Sites working with a Patient Record Flag must first
assign the flag to their "main" site and then edit the flag for
other sites to be able to receive/process the incoming HL7 messages, or
else the message is rejected as not coming from owning site.

DG*5.3*909 will update the Registration application to allow for the 
entering and maintenance of the Camp Lejeune Eligibility related data.
 
Please refer to Forum for a complete description of the updates.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - ITERATION 15
Refer to patch DG*5.3*919 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*917 addresses one issue:
1)      Menu option Add/Edit Suffix Effective Date [DG PTF SUFFIX EFF 
        DATE EDIT] was marked Out of Order in a previous patch. 
        Business Owner has requested that this option be re-activated

See National Patch module for description.

 
This patch inactivates Eleven Treating Specialty (TS) codes

Patch DG*5.3*797 added the new MILITARY SERVICE EPISODE sub-file #2.3216 
any of those inconsistencies is edited, the user is prompted with a set 
of eligibility-related fields that includes the Last Service Episode 
fields.  Since these inconsistencies were not modified for DG*5.3*797, 
the user is being prompted with the old MSE fields for SERVICE EPISODE 
[LAST].  These are the inconsistencies that are considered related to 
Eligibility:
 
   9            VETERAN STATUS UNSPECIFIED
   10           SC PROMPT UNANSWERED
   11           SC PROMPT INCONSISTENT
in the PATIENT (#2) file to store Military Service Episode (MSE) data.
   12           SC% UNSPECIFIED FOR SC VET
   13           POS UNSPECIFIED
   14           ELIG CODE UNSPECIFIED
   18           ELIG/VET STATUS INCONSISTENT
   19           ELIG/NONVET STAT INCONSISTENT
   20           ELIG/SC% INCONSISTENT
   22           ELIG CODE INCONSISTENT
   24           POS/ELIG CODE INCONSISTENT
   36           PATIENT TYPE UNDEFINED
   
Changes in that patch included modifications to several consistency 
 
This patch fixes this problem which was reported in Remedy ticket 
HD0000000623739 (DG*5.3*797 - MSDS MSE inappropriate prompts).  When 
editing any of those eligibility-related inconsistencies, the user will 
not be prompted with the old MSE fields and will now edit the MSE data in 
sub-file #2.3216 on the new Screen 6.1.
checks that used MSE data.  The consistency checks that are listed in the 
DG*5.3*797 patch description are correctly using the new MILITARY SERVICE 
EPISODE sub-file #2.3216 and the new Screen 6.1 to edit the data.
 
However, there is a set of consistency checks in the INCONSISTENT DATA 
ELEMENTS (#38.6) file that are considered related to Eligibility.   If 

MASTER VETERAN INDEX VISTA ENHANCEMENTS - ITERATION 16 / RELEASE 2
Refer to patch DG*5.3*926 in the FORUM Patch Module for a complete
description.

Modified DG10 routine to allow for additional fields in file 2 to trigger
.1213               Temporary Address Line 3
.1214               Temporary City
.1215               Temporary State
.1216               Temporary Zipcode
.21011              Primary NOK Work Phone Number
.215                Primary NOK Streed Address Line 3
.331                Emergency Contact Name
.332                Emergency Contact Relationship
.333                Emergency Contact Street Address Line 1
.334                Emergency Contact Street Address Line 2
an unsolicited update.  Here are the fields that trigger freshness update:
.335                Emergency Contact Street Address Line 3
.336                Emergency Contact City
.337                Emergency Contact State
.338                Emergency Contact Zipcode
.3731               Service COnnected Conditions
.3121               Insurance
 
Field #             Field Name
=======             ==========
.033                Age
.133                Email Address
.1211               Temporary Address Line 1
.1212               Temporary Address Line 2

This patch, DG*5.3*930 is one of three VistA 2017 threshold patches. It 
updates the thresholds for the Means Tests and the Maximum Annual Pension 
Rate. Patch EAS*1.0*144 will address the annual updates for the GMT 
Thresholds and patch IB*2.0*583 will address the annual updates for the 
Pharmacy Copay Thresholds.

This patch allows for the addition of language data to the Patient file.

Registration/Enrollment system sends notification emails if there is an 
issue with the Upload process to a remote email address that has been 
decommissioned. This patch will not allow emails to be sent to the remote
email group, but continue to use the local mail group.

Increase Engagement in My HealtheVet (IEMHV)
The Preregister a Patient [DGPRE PRE-REGISTER] option has been enhanced 
to display a message alerting the clerk that the selected patient 
has neither completed My HealtheVet registration, nor documented their 
desire to be excluded from My HealtheVet registration. Recent assistance 
provided by Pre-Registration clerks with the patient's My HealtheVet
enrollment is displayed within the alert/reminder.
 
Socialization Questions and Responses
-------------------------------------
The Preregister a Patient [DGPRE PRE-REGISTER] option has been enhanced 
 
to capture a patient's My HealtheVet registration status during the 
pre-registration process.
 
My HealtheVet Registration Actions
--------------------------------
The Preregister a Patient [DGPRE PRE-REGISTER] option has been enhanced 
to capture actions Pre-Registration clerks performed to assist with a
patient's My HealtheVet registration.
This patch contains enhancements to Pre-Registration functionality in the
Preregister a Patient [DGPRE PRE-REGISTER] option in the VistA
Registration V.5.3 package to increase patient engagement in My 
HealtheVet.
 
My HealtheVet Enrollment Alert/Reminder
---------------------------------------

This patch modifies the Registration v5.3 application to update the 
prompt text and display of the Birth Sex and Self-Identified Gender 
Identity fields.  See patch description on Forum for full details.

PTF Y2K UPDATES
 
Use post install to delete output tx on field 2/file 45.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - 'PREFERRED NAME'
Refer to patch DG*5.3*937 in the FORUM Patch Module for a complete
description.

ENROLLMENT SYSTEM MODERNIZATION (ESM) MANAGE DATE OF DEATH IN VISTA

Patch DG*5.3*912 addresses 3 issues:
     multiple records
      
1.)  Issue with Patient Treatment File (PTF) 801 screen, Current 
     Procedural Terminilogy (CPT) codes File (#81) SHORT NAME field (#2)
     has been deleted.
2.)  Military Service Data Inconsistencies Detail Report has data 
     listed when nothing is wrong in the patient record.
3.)  Patient Treatment File with multiple Current Procedural
     Terminilogy (CPT) codes, enter the wrong deletion date if there are

MASTER VETERAN INDEX VISTA ENHANCEMENTS - 'DATE OF DEATH'
Refer to patch DG*5.3*943 in the FORUM Patch Module for a complete
description.

Description:
===========
 
PATCH DG*5.3*938 ADDRESSES AND ISSUE WITH FOREIGN ADDRESS INFORMATION NOT
BEING SENT IN THE 'PID' SEGMENT IN A01 EVENT HL7 MESSAGES.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - POB COUNTRY/PROVINCE
Refer to patch DG*5.3*944 in the FORUM Patch Module for a complete
description.

The following enhancements are included in this patch:
Adding EDIPI to header line
Display Health Benefit Plans Currently Assigned to Veteran
Changed label Permanent Address to Mailing Address
Changed label Temporary Address to Temporary Mailing Address
Display Residential Address
Expanded Health Benefit Plan details

ENROLLMENT SYSTEMS COMMUNITY CARE(ESCC) HEALTH BENEFIT PLAN UPDATES

DG*5.3*940 EHBD BUILD 3 UPDATES

DG*5.3*162
Revisions for Y2K.

Patch DG*5.3*942 (this patch) adds these two (2) new entries to the HL 
LOGICAL LINK (#870) File: 200TA and 200TB.  This patch via 
post-install routine DG53P942 modifies the DNS DOMAIN for facility
200T7. 

Annual update of Geographic Means Test (GMT) thresholds are needed for
calendar year 2018 (income year 2017). 

Enrollment System Modernization Project VistA DG_53_P935.KID Build
enhancements; see the patch description for more information.

This patch implements Demographics domain changes required by the
Collaborative Terminology Tooling & Data Management (CTT & DM) Native
Standardization (NDS) project.
 
Please see FORUM for full patch description and installation instructions.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - RELABEL SEX PROMPTS
Refer to patch DG*5.3*950 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*954 fixes a <SUBSCRIPT>PIVNW+16~VAFHPIVT ~VAT(391.71,"") 
error.

This patch addresses an issue with the Scheduled Admissions List [DG 
SCHED ADMIT PRINT] option where the DATE/TIME value is being reported as 
invalid

Please see the DG*5.3*959 patch description for detailed information 
regarding this patch.

Patch DG*5.3*945 addresses the issue of the Purge Duplicate
Income Tests [DG CLEANUP INCOME TEST DUPES] option not completing
due to an error in routine DG53558N.

DESCRIPTION:
MASTER VETERAN INDEX VISTA ENHANCEMENTS - DATE OF DEATH UPDATES
Refer to patch DG*5.3*963 in the FORUM Patch Module for a complete
description.

See National Patch module for description.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - ACTIVE DUAL CONSUMER (ADC) 
Refer to patch DG*5.3*955 in the FORUM Patch Module for a complete
description.

Office of Mental Health is requesting 4 Treating Specialty (TS) Codes be 
inactivated with an inactivation date of 10/1/18

This Build contains components for the report enhancements to PRF by the 
SHRPE project.

Please refer to the Patch Description in FORUM for patch DG*5.3*970

Please see the DG*5.3*947 patch description for detailed information 
regarding this patch.

This patch addresses NSR 20171118. It modifies the option Religion List 
for Inpatients [DG RELIGION LIST] to display only the last four digits of
a patient's Social Security Number (SSN). This option is used to run a
report listing inpatients by religious faith. Currently, this option
unnecessarily displays each patient's full SSN. This modification helps
protect patient privacy and supports national SSN reduction efforts.

Patch DG*5.3*965 addresses 2 issues:
1. <SUBSCRIPT>PIVNW+40^VAFHPIVT error (Pivot file entry not there).
2. SAM-site is receiving SUBSCRIPT>SAVE+11^DGRPECE error

MASTER VETERAN INDEX VISTA ENHANCEMENTS - MVI SENSITIVITY
Refer to patch DG*5.3*967 in the FORUM Patch Module for a complete
description.

Please see the DG*5.3*941 patch description for detailed information 
regarding this patch.

The Means Test thresholds for Calendar Year 2019 are distributed with this
Thresholds and patch IB*2.0*635 will address the annual updates for the 
Pharmacy Copay Thresholds.
patch. The post-installation routine, DG53973P, will create a new subentry
(or replace an existing one) for calendar year 2019 in the MEANS TEST DATA
(#250) multiple field of the MAS PARAMETERS (#43) file. 
 
 
This patch, DG*5.3*973 is one of three VistA 2019 threshold patches. It 
updates the thresholds for the Means Tests and the Maximum Annual Pension 
Rate. Patch EAS*1.0*170 will address the annual updates for the GMT 

This build includes Data Dictionary updates for Year 2000 compliance.  The
following DD's are being patched:
 
   PATIENT File, #2
   CENSUS File,  #41.9
   MEDICAL CENTER DIVISION File, #40.8

User gets <UNDEFINED>ACTIVE+51^DGPFAPIU *DGACT(0) when using the Reminder 
Test[PXRM REMINDER TEST] option in the Reminder Managers Menu[PXRM 
MANAGERS MENU] when the end date of the PRF Assignment date is the same 
as the end date for the report. 

Please see the DG*5.3*966 patch description for detailed information 
regarding this patch.

This patch addresses enhancements to Patient Record Flags (PRF) to 
recorded in the PRF FileMan files to enable a convenient reference 
between VistA and DBRS.
 
2. Modification to support TIU/CPRS Progress Note Properties' action list 
functionality. 
 
3. Enhancements to PRF flags ownership transfers. The patch implements 
new functionality and makes modification to existing code to improve the 
process of ownership transfer and eliminate issues reported by PRF users. 
 
improve the delivery of targeted Mental Health care for individuals at 
4. Various enhancements and fixes related to PRF flag HL7 transmissions 
 
Please see the patch description of the patch in FORUM for details.
high risk for suicide.
 
Enhancements to PRF reports were made to improve effective management of 
coordination of care for high risk individuals and to include new data 
elements introduced with this patch.
 
1. The Disruptive Behavior Reporting System (DBRS) record numbers are now 

MASTER VETERAN INDEX VISTA ENHANCEMENTS - SUPPORT LONG NAMES IN VA MPI
Refer to patch DG*5.3*974 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*975 fixes an issue where the old MSE (Military Service
Episode) data is being deleted from an incoming ORFZ11 and new MSE data
is not being stored.

Please refer to the Patch Description in FORUM for patch DG*5.3*976

User reported an issue in the ISO Sensitive Records Report-Export [DG 
SENSITIVE RCDS RPT-EXPORT] option where the data is not being displayed 
correctly if the PATIENT NAME (.01) field is 30 characters long. The 
print template does not account for the "^" it concatenates to the end of 
the patients name to use as a delimiter. Therefore, the PATIENT NAME 
(.01) and the DATE/TIME RECORD ACCESSED (#50) field would be displayed 
together.

Please see the DG*5.3*978 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*987 patch description for detailed information 
regarding this patch.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - EHRM SUPPORT
Refer to patch DG*5.3*981 in the FORUM Patch Module for a complete
description.

DG*5.3*170
Revisions for Y2K.

Patch DG*5.3*984 modifies routine VAFHLZPD to use a different Application 
Program Interface (API) call when retrieving the Homeless Indicator due 
to the decommissioning of the Social Work (SOWK) package.

Please see the DG*5.3*982 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*972 patch description for detailed information 
regarding this patch.

The Means Test thresholds for Calendar Year 2020 are distributed with this
patch. The post-installation routine, DG53995P, will create a new subentry
(or replace an existing one) for calendar year 2020 in the MEANS TEST DATA
(#250) multiple field of the MAS PARAMETERS (#43) file.

Please see the DG*5.3*985 patch description for detailed information 
regarding this patch.

The patch is delivered in a bundle with IVM*2.0*184 and implements 
 
This patch also introduces a sub-eligibility, which is implemented as a
new "EXPANDED MH CARE TYPE" field in VistA PATIENT file (#2), for EMERGENT
MH OTH type that supports providing mental health care in one or more
90-day periods (additional periods require authorization) for eligible
patients.
 
This patch also introduces supportive reporting to identify those patients
registered as "EMERGENT MH OTH" (abbreviated as OTH-90). 
 
EXPANDED MH CARE NON-ENROLLEES as a primary eligibility code (and a
HL7 messaging has been updated in this patch to ensure VistA Registration 
changes are communicated to the Enrollment System (ES). OTH patient data
will be shared with ES and if a patient record is updated in ES, it will 
continue to be updated in VistA.
Medical Administration Service (MAS) eligibility code) in VistA
Registration to identify and support Other Than Honorably (OTH) discharged
patients who need mental healthcare services, in order to help reduce the
number of Veteran suicides.  These patients are awaiting adjudication and
are entitled to receiving mental health treatment during that timeframe
from the VA either for 90-day episodes of care for service related
emergent mental health issues.

Patch DG*5.3*989 will update the QRD segment of an HL7 Z11 query message
to pass in the Integration Control Number (ICN) (#991.01) field of the
Patient (#2) file as requested by the Enrollment System Redesign (ESR)
team.

Patch DG*5.3*1002 modifies routine VAFHLZPD to use a different
Application Program Interface (API) call when retrieving the Homeless
Indicator due to the decommissioning of the Social Work (SOWK) package.

Please refer to patch description on FORUM for detailed instructions.

Please see the DG*5.3*1006 patch description for detailed information 
regarding this patch.

See National Patch Module for description.

Refer to the DG*5.3*1011 patch description for detailed information 
regarding this patch.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - ENTERPRISE REGISTRATION UPDATES
Refer to patch DG*5.3*1000 in the FORUM Patch Module for a complete
description.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - CARMA SUPPORT
Refer to patch DG*5.3*1001 in the FORUM Patch Module for a complete
description.

Please see the DG*5.3*996 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*998 patch description for detailed information
regarding this patch.

This patch implements EXPANDED MH CARE NON-ENROLLEE as a primary
eligibility code in VistA Registration to identify and support nonveterans
that need emergent mental healthcare services.

This patch creates a new protocol that is executed whenever a field that 
points to the ICD DIAGNOSIS file (#80) is modified. See the associated 
patch description for complete details about this patch.

Patch DG*5.3*992 addresses two issues.
           when readmitting a patient that was previously in an 
           observation status.
 
        1. Users are unable to add/edit or delete catastrophically 
           disabled data from the Patient (#2) file once entered even 
           when they are signed into the facility that originally created 
           the entry.
 
        2. An issue where the incorrect pivot number and ward are 
           sometimes saved in the PADE OUTBOUND MESSAGES file (#58.72) 

Refer to the DG*5.3*1012 patch description for detailed information 
regarding this patch.

DG*5.3*163
Revisions for Y2K.

MASTER VETERAN INDEX VISTA ISSUE - PRF SUPPORT
Refer to patch DG*5.3*1024 in the FORUM Patch Module for a complete
description.

Display postal code at the end of foreign addresses instead of at the
beginning.

Please see the DG*5.3*997 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*1008 patch description for detailed information
regarding this patch.

 
Please see the DG*5.3*993 patch description for detailed information 
regarding this patch

Patch DG*5.3*1007 address two issues
 
1. The Service Component (.04) field of the Military Service Episode 
(.3216) sub-file is not being extracted with the corresponding Military 
Service Episode data
 
2. Incorrect Help Text Displays on Registration Screen for Multiple Birth 
Indicator

MASTER VETERAN INDEX VISTA ENHANCEMENT - TFL API UPDATE
Refer to patch DG*5.3*1026 in the FORUM Patch Module for a complete
description.

Patch  DG*5.3*1016 implements the following:
registration then changed to OTH and subsequent MST re-screening 
resulting in no or decline.
 
3. Provides a fix to ensure that the OTH Patient Inquiry option displays 
an ACTIVE OTH status if the patient transitions from OTH Emergent to OTH 
Extended.
 
4. Provides a fix to ensure that the OTH Patient Inquiry option displays 
the correct current Primary Eligibility.
 
1. Provides a fix to ensure 'Reevaluate Eligibility' Mailman messages 
sent to DGEN ELIGIBILITY ALERT group are sent only for patients 
registered as 'OTH' patients, per the defined business scenario.
 
2. Provides enhancement to the 'Reevaluate Eligibility' Mailman message 
to be sent to DGEN ELIGIBILITY ALERT group for patients first registered 
as NON-OTH patients and screened positively for MST, but whose 

Please see the DG*5.3*1015 patch description for detailed information 
regarding this patch.

See National Patch Module for description.

See National Patch Module for description.

Please see the DG*5.3*1031 patch description for detailed information 
regarding this patch.

MASTER VETERAN INDEX VISTA ENHANCEMENT - HAC SUPPORT
Refer to patch DG*5.3*1013 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*1017 addresses an issue of an incorrect display of a PRF 
Assignment status. This issue occurs when using the Record Flag Manual 
Query [DGPF MANUAL QUERY] option because the current code does not 
account for a status that was updated via REFRESH INACTIVE.

Please see the DG*5.3*1014 patch description for detailed information 
regarding this patch.

This patch corrects issues identified during the warranty period for 
Computerized Patient Record System (CPRS) v31b.
 
It also modifies the SCHEDULED ADMISSION file (#41.1), enabling it to
notify other software packages when an entry is added, updated or removed.
There are no end-user functionality changes in this patch.
 
Please refer to the patch description for the list of issues and 
additional details.

DG*5.3*1025 (Registration) is bundled with IB*2.0*685 (Integrated 
Billing) in host file.
 
This patch introduces report to identify Former Service Members whose
Primary Eligibility changed from EXPANDED MH CARE NON-ENROLLEE to a new
Primary Eligibility with a verified eligibility status. These patients are
no longer treated under the Other Than Honorable (OTH) authority (VHA
Directive 1601A.02).

Please see the DG*5.3*1041 patch description for detailed information 
regarding this patch.

The Means Test thresholds for Calendar Year 2021 are distributed with this
patch. The post-installation routine, DG531039P, will create a new 
subentry (or replace an existing one) for calendar year 2021 in the MEANS
TEST DATA (#250) multiple field of the MAS PARAMETERS (#43) file.
 
Patch DG*5.3*1039 updates the thresholds for the Means Tests and the 
Maximum Annual Pension Rate.

MASTER VETERAN INDEX VISTA ENHANCEMENT - SIGI UPDATES
Refer to patch DG*5.3*1033 in the FORUM Patch Module for a complete
description.

DG*5.3*166
Revisions for Y2K.

Patch DG*5.3*1023 addresses an issue where the Collateral Patient's 
address is not being copied from the sponsor and will not display in the 
RF1 segment of the transmitted HL7 Z07 message.

When comparing the Date of Death with the current date during the 
validation process from an incoming Z11 message, it gets rejected with an 
error message "Date of Death cannot be a future date", even if the date 
of death is at the same day with current date.
 
The issue will occur when the Date of Death for inpatients contains date 
and time, e.g., 3201028.0701. The code compares the Date of Death to the 
current date format (variable DT), which does not include time, e.g., 
3201028.

The patch modifies DG routines to provide data for OR RPC to display on 
CPRS screens and windows the following:
-Presumptive Psychosis button and related information,
-inactive Patient Record Flags indicator and related information.

Backup of DG*5.3*1048 on Mar 22, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Please see the DG*5.3*1048 patch description for detailed information 
regarding this patch.

Backup of DG*5.3*1043 on Mar 26, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Patch DG*5.3*1043 addresses the following issues:
 
1. An UNDEFINED EN+37^DGRUDYN Error occurs regularly due to the
   DGRU INPATIENT CAPTURE item protocol being enabled.
2. EWL needs to be removed as a selectable option from the New 
   Enrollee Appointment Request (NEAR) Management Edit option
   Status.

Backup of DG*5.3*1049 on Apr 07, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Please see the DG*5.3*1049 patch description for detailed information 
regarding this patch.

Backup of DG*5.3*1040 on Apr 22, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

See NPM for description.

Please refer to the National Patch Module for the detail of this 
patch build.

Backup of DG*5.3*1018 on Apr 27, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Please see the DG*5.3*1018 patch description for detailed information 
regarding this patch.

Backup of DG*5.3*1042 on Apr 29, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - TFL UPDATES
Refer to patch DG*5.3*1042 in the FORUM Patch Module for a complete
description.

Backup of IB*2.0*688, DG*5.3*1034 on Apr 29, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

DG*5.3*1034 (Registration) is bundled with IB*2.0*688 (Integrated Billing)
in host file IB_2_0_P688.KID.
 
This patch introduces reports to help Registration and Integrated Billing 
application users identify veterans that are registered as eligible for 
Other Than Honorable and Presumptive Psychosis benefits. List their
encounters and prescription in order to assist billing.

Backup of DG*5.3*1053 on Apr 29, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Patch DG*5.3*1053 addresses the following issues(s):
 
1. An UNDEFINED error, EN+37^DGRUDYN, occurs when a Patient's Ward does
   not have a RAI SUBSCRIPTION NUMBER (#900.1) field in the Medical
   Center Division (#40.8) file. Also, this patch will enable the 
   RAI/MDS Inpatient event capture DGRU INPATIENT CAPTURE protocol
   disabled by patch DG*5.3*1043 and put it back on the Movement
   Events v 5.0 [DGPM MOVEMENT EVENTS] protocol menu.

Backup of DG*5.3*1055 on Jun 07, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

See National Patch Module for description of changes
included in this patch.

MASTER VETERAN INDEX VISTA ISSUE - TFL SITE LIST
Refer to patch DG*5.3*1055 in the FORUM Patch Module for a complete
description.

This patch introduces reports to identify veterans that have been 
information for localized messaging can be input by the Clinical
Application Coordinator.
registered for Presumptive Psychosis (PP) benefits by using the workaround
settings, and need additional PP category settings in Registration
database. List their episodes of care and released prescription in order
to assist billing.
 
This patch will also add any localized messaging text to the OTH button in
CPRS if it is populated for the patient. The text "Call Registration Team
for Details." will always be displayed and cannot be edited.  Any further

Please see the DG*5.3*1027 patch description for detailed information 
regarding this patch.

Backup of DG*5.3*1044 on Jul 01, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

Please see the DG*5.3*1044 patch description for detailed information
regarding this patch.

Backup of DG*5.3*1050 on Jul 14, 2021
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

MASTER VETERAN INDEX VISTA ENHANCEMENTS - ADDITIONAL TFL UPDATE
Refer to patch DG*5.3*1050 in the FORUM Patch Module for a complete
description.

This patch introduces the new report Potential Presumptive Psychosis 
those eligible for Other Than Honorable (OTH) benefits. Per the Deborah 
Sampson Act, Former Service Members who experienced Military Sexual Trauma
(MST) are eligible for the full range of MST-related care-both mental
health and other medical care.
Patient Report [DG POTEN PRESUMPT PSYCHOSIS] to identify patients who have
been registered in VistA using the Presumptive Psychosis (PP) 'workaround'
process since 38U.S. Code 1702 was passed on 3/14/2013. The report is to
be used by Registration/Enrollment users to identify PP patients without
PP category and select the PP category for them.
 
This patch implements two modifications to support benefits provided by 
the Deborah Sampson Act for all Former Service Members (FSM) including 

Please see the DG*5.3*1045 patch description for detailed information
regarding this patch.

Please see the DG*5.3*1056 patch description for detailed information 
regarding this patch.

This KIDS build is created to send out a new cross reference on the Date of
Death field.  This new cross reference will call an Outpatient Pharmacy
routine (APSOD^PSOCAN3(DA)).
This code will discontinue all active prescriptions when a date of death is
entered for a patient.  This new xref is used with version 7.0 of Outpatient
Pharmacy.

Please see the DG*5.3*1061 patch description for detailed information 
regarding this patch.

Business owner requested to add three procedure codes to trigger VistA to 
ask the number of dialysis treatments. The codes are: 5A1D70Z, 5A1D80Z, 
5A1D90Z. 

Please see the DG*5.3*1065 patch description for detailed information 
regarding this patch.

Patch DG*5.3*1054 addresses an issue where a user reported their Vista
instance freezing when sending a PRF Query message to Austin MHV during
the Registration process.

MASTER VETERAN INDEX VISTA ENHANCEMENT - NEW DEMOGRAPHIC FIELDS
Refer to patch DG*5.3*1059 in the FORUM Patch Module for a complete
description.

Patch DG*5.3*1063 addresses 2 issues. 
   If the HL array exists from a previous process it will attempt
   to use it first, before the HLFS & HLECH variables causing a
   potential discrepancy in the PID build segments which is causing 
   an error at receiving sites.
1. Certain ICD10 codes are not being found in the Diagnostic Code 
   PTF Record Search [DG PTF ICD DIAGNOSTIC SEARCH] option due 
   to the DGVDT variable being set to the ICD10 code set 
   implementation date and passing that date into an optional
   search date parameter causing any ICD10 code activated 
   after 10/01/2015 to not be returned by the search function. 
2. Discrepancies between PID encoding characters when using 
   Record Flag Assignment [DGPF RECORD FLAG ASSIGNMENT].

The Means Test thresholds for Calendar Year 2022 are distributed with this
patch. The post-installation routine, DG1068P, will create a new 
subentry (or replace an existing one) for calendar year 2022 in the MEANS
TEST DATA (#250) multiple field of the MAS PARAMETERS (#43) file.
 
Patch DG*5.3*1068 updates the thresholds for the Means Tests and the 
Maximum Annual Pension Rate.

This patch will update the description in the Patient Address Update [DG 
ADDRESS UPDATE] option to add parentheses around the file (#301.7) to 
meet proper FileMan formatting.
 
 
It will also correct the name (#.01) OFFICE OF ECONOMIC OPPORTUNITY in 
the Other Federal Agency file (#35) to be spelled correctly.

Patch DG*5.3*1052 addresses 3 issues.
 
        3. An update to the Collateral Patient Register [DG COLLATERAL
        PATIENT] option to add a 'WARNING' message to notify users that
        they could potentially be editing the identity of a patient.
 
        1. User reported an UNDEFINED ODS+2^DGDIS error after entering '^'
        at the 'Select the type of disposition:' prompt in the Disposition
        an Application [DG DISPOSITION APPLICATION] option.
 
        2. User reported an UNDEFINED ANS+15^DGDIS error after entering
        '^' at one of multiple possible prompts in the Disposition an
        Application [DG DISPOSITION APPLICATION] option.

This KIDS build is created to send out a new cross reference on the Date of
Death field.  This new cross reference will call an Outpatient Pharmacy
routine (APSOD^PSOCAN3(DA)).
This code will discontinue all active prescriptions when a date of death is
entered for a patient.  This new xref is used with version 7.0 of Outpatient
Pharmacy.

Please see the DG*5.3*1067 patch description for detailed information 
regarding this patch.

Patch DG*5.3*1069 addresses an issue introduced by patch DG*5.3*1054 that
eliminated PRF Queries to be sent to non-medical treating facilities.
200CRNR is considered a VAMC and should therefor receive the PRF Query.

MASTER VETERAN INDEX VISTA ENHANCEMENT - PATIENT RECORD FLAG SUPPORT
Refer to patch DG*5.3*1079 in the FORUM Patch Module for a complete
description.

MASTER VETERAN INDEX VISTA ENHANCEMENT - SEXUAL ORIENTATION UPDATES
Refer to patch DG*5.3*1071 in the FORUM Patch Module for a complete
description.

Please see the DG*5.3*1075 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*1064 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*1081 patch description for detailed information 
regarding this patch.

Patch DG*5.3*1074 adds one Treatment Specialty code to the SPECIALITY 
(#42.4) File and the FACILITY TREATING SPECIALTY (#45.7) File.

Patch DG*5.3*1083 addresses an undefined error due to the Census PTF
record not being created correctly when a PTF is being closed out.

See NPM for description.

Updates the thresholds for the Means Tests in the MAS PARAMETERS (#43)
file and the Maximum Annual Pension Rate in the PARAMETER (#8989.5) file.

Please see the DG*5.3*1082 patch description for detailed information 
regarding this patch.

Patch DG*5.3*1084 addresses 2 issues
 
1. A reported issue where the potential for a blank error to be posted in
the error trap exists.
 
2. The removal of the Agent Orange Registration # from the DG LOAD PATIENT
DATA option screen 6 (MILITARY SERVICE DATA SCREEN) > Environmental
Factors screen, with the approval from the business owners.

This patch creates a new protocol that is executed whenever a field in 
the PTF (#45) file that points to the ICD PROCEDURE (#80.1) file is
modified. See the associated patch description for complete details about
this patch.

PLEASE REFER TO THE PATCH DESCRIPTION ON FORUM FOR THE INSTALLATION 
INSTRUCTIONS.

Please see the DG*5.3*1085 patch description for detailed information 
regarding this patch.

MASTER VETERAN INDEX VISTA ENHANCEMENT - SIGI UPDATES
Refer to patch DG*5.3*1088 in the FORUM Patch Module for a complete
description.

MASTER VETERAN INDEX VISTA ISSUE - A19 SEXUAL ORIENTATION/PRONOUN 
PROCESSING
Refer to patch DG*5.3*1092 in the FORUM Patch Module for a complete
description.

Please see the DG*5.3*1090 patch description for detailed information 
regarding this patch.

The purpose of this build is to cleanup note pointer issues in the sexual 
orientation portion of the patient file. Please see the patch description 
for a more detailed explanation.

See National Patch Module for description of changes included in this
patch.

MASTER VETERAN INDEX VISTA ISSUE - NAME OVERWRITE
Refer to patch DG*5.3*1099 in the FORUM Patch Module for a complete
description.

See FORUM for Patch Description.

Patch DG*5.3*1078 addresses an issue with incoming Patient Record Flag 
(PRF) history records that are auto populating the CREATED BY SITE (#.09) 
field of the PRF ASSIGNMENT HISTORY (#26.14) file, if the incoming field
is null.

Please see the DG*5.3*1093 patch description for detailed information 
regarding this patch.

Improve the HELP message for ADMIT DATE by removing all references to a 
future date.

Backup of DG*5.3*1101 on Aug 03, 2023
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

FIXES INACTIVE FLAG BUTTON IN CPRS FOR NON-VETS

Patch DG*5.3*1106 addresses an issue of the Created by Site (#.09) field
of the PRF Assignment History (#26.14) file not being stored for certain
'Edit' actions.

Please see the DG*5.3*1098 patch description for detailed information 
regarding this patch.

ADMIT DATE HELP TEXT MODIFIED FOR NO FUTURE DATES

See National Patch Module for description.

Backup of DG*5.3*1105 on Nov 01, 2023
 
Warning:  Installing this backup patch message will install older versions
of routines and Build Components (options, protocols, templates, etc.).
Please verify with the Development Team that it is safe to install.

RESTORE GOLD VERSION OF ROUTINES DGPMV2 & DGPMV21

Please see the DG*5.3*1103 patch description for detailed information 
regarding this patch.

Please see the DG*5.3*1110 patch description for detailed information 
regarding this patch.

See FORUM for patch description.

Please see the DG*5.3*1109 patch description for detailed information 
regarding this patch.

MASTER VETERAN INDEX VISTA ENHANCEMENT - SEXUAL ORIENTATION UPDATES
Refer to patch DG*5.3*1112 in the FORUM Patch Module for a complete
description.

The purpose of this patch is to add missing Name Component records in the 
PATIENT file #2 , and the NAME COMPONENTS (file #20). The missing name 
component entries can cause the name to not update on Toolkit ADR Compare 
and to not display on the Master Patient Index Extended Patient data 
inquiry (MPI EDAT).

Prevent scheduled admission to inactive ward.

Please see the DG*5.3*1111 patch description for detailed information 
regarding this patch.

Extend the allowable DBRS number digits from 6 to 7

Patch DG*5.3*1113 addresses an issue where certain PRF Flag Assignment
updates did not store the Created By Site (.09) field of the PRF
Assignment History (#26.14) file after the release of patch DG*5.3*1078.
This patch will correct any records with a null value after the install of
patch DG*5.3*1078. This patch also stores the site ID for any other
locations that stores a PRF Assignment History (#26.14) update within the
Registration software.

Patch DG*5.3*1122 Replaces offensive language in the DIALOG(#.84) file

See FORUM for patch description.

Please see the DG*5.3*1118 patch description for detailed information 
regarding this patch.

ADD VALIDATION TO IS PRIMARY DIVISION FIELD

ENHANCEMENT TO DGOTHBT2

Patch DG*5.3*1130 updates the message that is displayed when accessing
a patient that is marked as having a sensitive patient record.

Please see the DG*5.3*1121 patch description for detailed information 
regarding this patch.

 
 See the description for patch DG*5.3*87 in the National Patch Module.

See National Patch Module for description.

MASTER VETERAN INDEX VISTA ENHANCEMENT - PROSTHETICS PATIENT CREATE API
Refer to patch DG*5.3*1096 in the FORUM Patch Module for a complete
description.

Refer to National Patch Module for details

See the National Patch Module for details.  Patches DG*5.3*24, DG*5.3*75,
DG*5.3*91, and DG*5.3*123 and SD*5.3*70 (which includes the patch
DG*5.3*106) must be loaded before loading this patch.

See National Patch Module for description.

Prevent erroneous Mileage Remark in Claim Enter/Edit.

See National Patch Module for description.

See NPM for description.

See National Patch Module for description.