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Patch Subject: SEPARATION REASON CODE Description: ============ Patch DG*5.3*966 is being released to support enhancements introduced in the Enrollment System (ES) 5.4 release. For additional information on the v5.4 release, please refer to informational patch EAS*1.0*169 for details. This patch provides enhancements to Veterans Health Information System and Technology Architecture (VistA) Registration, Eligibility & Enrollment (REE) that ensure a Veteran's complete and accurate military service record is displayed in the system. This patch provides for validation of the Early Separation Reason for a veterans' Military Service Episode (MSE). This ensures greater data integrity. DG*5.3*966 ensures that eligibility for care is accurately determined across Veterans Health Administration (VHA) systems and that the Veteran's military service information is accurate and accessible at any VHA facility. Listing of Updates ================== This patch makes the following enhancements to VistA REE: 1. The SEPARATION REASON CODE (#.1) sub-field within the MILITARY SERVICE EPISODE (#.3216) multiple in the PATIENT (#2) file is added. This field is a pointer to the SEPARATION REASON (#26) file and the data for this field will be received from ES in ORF-Z11/ORU-Z11 HL7 messages in the ZMH segment. The SEPARATION REASON CODE cannot be edited or deleted by VistA users and will not be sent back to ES in a Z07 message. Note: DBIA 5783 MILITARY SERVICE EPISODE API, the routine DGMSEUTL includes component GETMSE that returns all records in the MILITARY SERVICE EPISODE (#.3216) multiple within the PATIENT (#2) file in the Military Service Episode (MSE) array. While no modifications were made to this component, the SEPARATION REASON CODE (#.1) field is included in the returned array. 2. The SEPARATION REASON (#26) file is added to VistA REE. This file contains the codes and associated descriptions for the Reason for Early Separation with data matching the equivalent table in (ES). The data for this file is included in the build. (See the Post-Installation Instructions section below.) The file consists of two fields: a. CODE field (#.01) - Free-text field of 3 digits for the Reason for Separation Code. b. DESCRIPTION field (#.02) - Free-text field of 3-128 characters. 3. The HL7 interface with ES is modified to include the additional "SEPARATION REASON CODE" (#.01) field that is associated with each MSE. The ORU-Z11/ORF-Z11 message contains a new sequence, (#10), in the ZMH segment. 4. When VistA receives an HL7 message with a Separation Reason Code, the code is validated against the SEPARATION REASON (#26) file in VistA. VistA processes the field based on the following criteria: a. If the Separation Reason Code is present in the SEPARATION REASON (#26) file, it is stored in the SEPARATION REASON CODE (#.1) field within the MILITARY SERVICE EPISODE (#.3216) multiple within the PATIENT (#2) file. b. If the Separation Reason Code is not present in the SEPARATION REASON (#26) file, the text "Refer to Enrollment System for Reason" is stored in the patient record in the REASON FOR EARLY SEPARATION (#.09) field in the MILITARY SERVICE EPISODE (#.3216) multiple within the PATIENT (#2) file. 5. MSEs that contain a SEPARATION REASON CODE will not be included in the ORU-Z07 or ORF-Z07 messages sent to ES. 6. There are no display changes in VistA REE. The internal logic used to retrieve the Reason for Early Separation description from the patient record for display on screens <6> and <6.1> is modified as follows: a. If the SEPARATION REASON CODE (#.1) sub-field within the MILITARY SERVICE EPISODE (#.3216) multiple in the PATIENT (#2) file is present, it is used to acquire the DESCRIPTION (#.02) field from the SEPARATION REASON (#26) file. b. If the SEPARATION REASON CODE (#.1) sub-field within the MILITARY SERVICE EPISODE (#.3216) multiple in the PATIENT (#2) file is not present, the REASON FOR EARLY SEPARATION (#.09) sub-field within the MILITARY SERVICE EPISODE (#.3216) multiple in the PATIENT (#2) file field is used to retrieve the description. Patch Components: ----------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- PATIENT (#2) MILITARY SERVICE Modified EPISODE (#.3216) SEPARATION REASON New CODE (#.1) SEPARATION REASON (#26) New CODE (#.01) New DESCRIPTION (.02) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- VA Greater Los Angeles Healthcare System, Los Angeles CA James E. Van Zandt VA Medical Center, Altoona PA Software and Documentation Retrieval Instructions: ---------------------------------------------------- This software is being released as a patch (PackMan) message. Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to retrieve files from download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the documentation directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines: domain.ext Salt Lake City: domain.ext Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ Title File Name SFTP Mode -------------------------------------------------------------------------- Release Notes DG_53_P966_RN.PDF (binary) IVM Technical Manual IVM_2_P175_TM.PDF (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ Use default answers for KIDS load/install questions. Patch-Files: http://code.osehra.org/VistA.git/tree/master/Packages/Registration/Patches/DG_5.3_966
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