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| # | Location | File | Last Modified |
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| 1 | CPRS EP1 January 2019.zip\CPRS EP1 January 2019 | OR_30_453_Patch Description.docx | Thu Dec 6 22:49:40 2018 UTC |
| 2 | CPRS EP1 January 2019.zip\CPRS EP1 January 2019 | OR_30_453_Patch Description.docx | Fri Feb 22 16:10:25 2019 UTC |
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| 1 | VistA Patc h Display Page: 1 | |
| 2 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 3 | Run Date: DEC 06, 20 18 Design ation: OR* 3*453 TES T v9 | |
| 4 | Package : ORDER ENTR Y/RESULTS REPORTING Priori ty : MAN DATORY | |
| 5 | Version : 3 Status : UND ER DEVELOP MENT | |
| 6 | ========== ========== ========== ========== ========== ========== ========== ======= | |
| 7 | ||
| 8 | Associated patches: (v)OR*3*42 <<= m ust be ins talled BEF ORE `OR*3* 453' | |
| 9 | (u)OR*3*39 7 <<= m ust be ins talled BEF ORE `OR*3* 453' | |
| 10 | (v)OR*3*45 2 <<= m ust be ins talled BEF ORE `OR*3* 453' | |
| 11 | (v)OR*3*47 1 <<= m ust be ins talled BEF ORE `OR*3* 453' | |
| 12 | ||
| 13 | ||
| 14 | Subject: Provider R ole Tool | |
| 15 | ||
| 16 | Category: ENHANCEME NT | |
| 17 | ||
| 18 | Descriptio n: | |
| 19 | ========== = | |
| 20 | ||
| 21 | The purpos e of this patch is t o allow an Ordering Provider w ho is bein g | |
| 22 | given a ro le change (e.g., tra nsferred t o DoD from VA) to ha ve his or her | |
| 23 | Patient Or ders reass igned perm anently to one or mo re Provide rs who wil l | |
| 24 | then recei ve alerts/ notificati ons for th ose orders as of the transfer | |
| 25 | date/time. | |
| 26 | ||
| 27 | A new Prov ider Utili ties GUI t ool will b e availabl e in CPRS to pull up an | |
| 28 | Ordering P rovider's Patient Or ders for a date rang e selected by the en d | |
| 29 | user. Usi ng the GUI tool, the end user will be ab le to reas sign those | |
| 30 | Patient Or ders to on e or more Providers who must b e able, at least | |
| 31 | generally, to receiv e alerts/n otificatio ns. Only Patient Or ders in a | |
| 32 | Signed sta te will be available for selec tion. See Post Insta llation | |
| 33 | instructio ns below t o see how to set up security f or users w ho need | |
| 34 | access to this new t ool. | |
| 35 | ||
| 36 | A new "EPR ACDT" New Style cros s referenc e (index) has been c reated to be | |
| 37 | able to qu ickly pull up Order Providers from the O RDER ACTIO NS multipl e | |
| 38 | who are cu rrently re sponsible for Patien t Orders s o these ca n be | |
| 39 | reassigned . | |
| 40 | ||
| 41 | Once new P roviders h ave been a ssigned Pa tient Orde rs, the en d user can | |
| 42 | press the Apply Chan ges button to actual ly do the reassignme nts. Each | |
| 43 | Patient Or der will r eport back to the en d user Suc cess or Fa ilure of | |
| 44 | reassignme nt. For e xample, on e Failure could occu r if a Pat ient Order is | |
| 45 | being edit ed by anot her user. | |
| 46 | ||
| 47 | Another ne w "EPRTRDT " New Styl e cross re ference (i ndex) has been creat ed | |
| 48 | to allow a newly ass igned Prov ider's Pat ient Order s to be re assigned | |
| 49 | permanentl y to a thi rd Provide r. This m ay rarely occur but it is | |
| 50 | possible. | |
| 51 | ||
| 52 | ||
| 53 | Patch Comp onents: | |
| 54 | ---------- ------- | |
| 55 | ||
| 56 | ||
| 57 | Files & Fi elds Assoc iated: | |
| 58 | ||
| 59 | File Name (Number) Field N ame (Numbe r) New/Modi fied/Delet ed | |
| 60 | ---------- -------- ------- ---------- -- -------- ---------- -- | |
| 61 | ORDER (100 ) ORDER T RANSFERS ( 100.011) New (Mul tiple) | |
| 62 | TRANS FER DATE/T IME (.01) New (Sub -Field) | |
| 63 | TRANS FERRED FRO M (.02) New (Sub -Field) | |
| 64 | TRANS FERRED TO (.03) New (Sub -Field) | |
| 65 | TRANS FER USER ( .04) New (Sub -Field) | |
| 66 | ||
| 67 | Cross Refe rence "EPR TRDT" has been creat ed at ORDE R level th at will in dex | |
| 68 | by TRANSFE RRED TO & TRANSFER D ATE/TIME s ub-fields. | |
| 69 | ||
| 70 | ORDER A CTIONS (10 0.008) Modified (Multiple ) | |
| 71 | DATE/ TIME ORDER ED (.01) Modified (Sub-Fiel d) | |
| 72 | PROVI DER (3) Modified (Sub-Fiel d) | |
| 73 | ||
| 74 | Cross Refe rence "EPR ACDT" has been creat ed at ORDE R level th at will in dex | |
| 75 | by PROVIDE R & DATE/T IME ORDERE D sub-fiel ds. | |
| 76 | ||
| 77 | Forms Asso ciated: | |
| 78 | ||
| 79 | Form Name File # New/Mo dified/Del eted | |
| 80 | --------- ---- -- ------ ---------- ---- | |
| 81 | N/A | |
| 82 | ||
| 83 | Mail Group s Associat ed: | |
| 84 | ||
| 85 | Mail Group Name New/ Modified/D eleted | |
| 86 | ---------- ----- ---- ---------- ------ | |
| 87 | N/A | |
| 88 | ||
| 89 | Options As sociated: | |
| 90 | ||
| 91 | Option Nam e Type N ew/Modifie d/Deleted | |
| 92 | ---------- - ---- - ---------- --------- | |
| 93 | OR PU GUI Broker N ew | |
| 94 | ||
| 95 | Protocols Associated : | |
| 96 | ||
| 97 | Protocol N ame New/ Modified/D eleted | |
| 98 | ---------- --- ---- ---------- ------ | |
| 99 | N/A | |
| 100 | ||
| 101 | Remote Pro cedures As sociated: | |
| 102 | RPC Name New/Mod ified/Dele ted | |
| 103 | -------- ------- ---------- --- | |
| 104 | ORQ3 AUTHU SR New | |
| 105 | ORQ3 CHKPA TCH New | |
| 106 | ORQ3 EN New | |
| 107 | ORQ3 XFER New | |
| 108 | ||
| 109 | Security K eys Associ ated: | |
| 110 | ||
| 111 | Security K ey Name | |
| 112 | ---------- ------- | |
| 113 | OR PU ACCE SS | |
| 114 | ||
| 115 | Templates Associated : | |
| 116 | ||
| 117 | Template N ame Type File N ame (Numbe r) New/Mo dified/Del eted | |
| 118 | ---------- --- ---- ------ ---------- -- ------ ---------- ---- | |
| 119 | N/A | |
| 120 | ||
| 121 | Additional Informati on: | |
| 122 | ||
| 123 | ||
| 124 | New Servic e Requests (NSRs): | |
| 125 | ---------- ---------- -------- | |
| 126 | NSR 201305 04 created to addres s Patient Safety Iss ue describ ed immedia tely | |
| 127 | below. | |
| 128 | ||
| 129 | Patient Sa fety Issue s (PSIs): | |
| 130 | ---------- ---------- --------- | |
| 131 | Patient Sa fety Issue #2083 and Remedy Ti cket #5146 57 are ass ociated wi th | |
| 132 | this reque st. As re gards a pr ovider who had pract iced at VA from Nove mber | |
| 133 | 2008 until July 2011 , when he became a D oD provide r, a surro gate was | |
| 134 | assigned f or him. Th e surrogat e received notificat ions for t he former | |
| 135 | provider a s well as notificati ons for pa tients the former pr ovider bec ame | |
| 136 | responsibl e for in h is new rol e as a DoD provider who also u ses CPRS. When | |
| 137 | the surrog acy was re moved, the DoD provi der receiv ed notific ations for his | |
| 138 | DoD patien ts and als o received notificat ions for h is former VA patient s. | |
| 139 | When notif ications r egarding c linical in formation such as la b values, | |
| 140 | cancellati on or disc ontinuatio n of lab a nd imaging orders, a nd update or | |
| 141 | cancellati on of cons ults are n ot directe d to the c orrect pro vider, | |
| 142 | potential exists for abnormal results no t being co mmunicated to the ne w | |
| 143 | provider, or not com municated in a timel y manner. | |
| 144 | ||
| 145 | Defect Tra cking Syst em Ticket( s) & Overv iew: | |
| 146 | ---------- ---------- ---------- ---------- ---- | |
| 147 | N/A | |
| 148 | ||
| 149 | ||
| 150 | Test Sites : | |
| 151 | ---------- | |
| 152 | TBD | |
| 153 | ||
| 154 | ||
| 155 | Software a nd Documen tation Ret rieval Ins tructions: | |
| 156 | ---------- ---------- ---------- ---------- ---------- -- | |
| 157 | Documentat ion descri bing the i nstallatio n for this patch is available. | |
| 158 | ||
| 159 | The prefer red method is to ret rieve file s from :PORT . | |
| 160 | This trans mits the f iles from the first available server. Si tes may | |
| 161 | also elect to retrie ve files d irectly fr om a speci fic server . | |
| 162 | ||
| 163 | Sites may retrieve t he softwar e document ation dire ctly using Secure Fi le | |
| 164 | Transfer P rotocol (S FTP) from the ANONYM OUS.SOFTWA RE directo ry at the | |
| 165 | following OI Field O ffices: | |
| 166 | ||
| 167 | Hines: :P ORT | |
| 168 | Salt Lake City: :PORT | |
| 169 | ||
| 170 | Documentat ion can al so be foun d on the V A Software Documenta tion Libra ry | |
| 171 | at: | |
| 172 | http:// :PORT /vdl/ | |
| 173 | ||
| 174 | ||
| 175 | File Name Con tents F TP Mode | |
| 176 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- - | |
| 177 | TBD | |
| 178 | ||
| 179 | Patch Inst allation: | |
| 180 | ||
| 181 | ||
| 182 | Pre/Post I nstallatio n Overview : | |
| 183 | ---------- ---------- ---------- - | |
| 184 | ||
| 185 | ||
| 186 | Pre-Instal lation Ins tructions: | |
| 187 | ---------- ---------- ---------- | |
| 188 | This patch may be in stalled wi th users o n the syst em althoug h it is | |
| 189 | recommende d that it be install ed during non-peak h ours to mi nimize | |
| 190 | potential disruption to users. The leng th of time to instal l the patc h | |
| 191 | will depen d on the n umber of O RDER file (#100) ORD ER ACTIONS multiple | |
| 192 | records th at the New Style cro ss referen ce (index) "EPRACDT" will have to | |
| 193 | create ent ries for. | |
| 194 | ||
| 195 | Also, this patch is associated with a ne w Provider Role Chan ge executa ble. | |
| 196 | Please coo rdinate wi th the app ropriate p ersonnel t o ensure t he patch a nd | |
| 197 | the execut able are i nstalled a t the same time. | |
| 198 | ||
| 199 | Installati on Instruc tions: | |
| 200 | ---------- ---------- ------ | |
| 201 | 1. Load t he host fi le OR_30_4 53.KID usi ng the "Lo ad a Distr ibution" | |
| 202 | option on the Vi stA XPD In stallation Menu. | |
| 203 | ||
| 204 | 2. From t he Kernel Installati on and Dis tribution System Men u, select | |
| 205 | the In stallation Menu. Fr om this me nu, you ma y elect to use the | |
| 206 | follow ing option s. When pr ompted for the INSTA LL NAME en ter: | |
| 207 | OR*3.0 *453 | |
| 208 | a. Ba ckup a Tra nsport Glo bal - This option wi ll create a backup | |
| 209 | me ssage of a ny routine s exported with this patch. It will not | |
| 210 | ba ckup any o ther chang es such as DDs or te mplates. | |
| 211 | b. Co mpare Tran sport Glob al to Curr ent System - This op tion will | |
| 212 | al low you to view all changes th at will be made when this | |
| 213 | pa tch is ins talled. I t compares all compo nents of t his patch | |
| 214 | (r outines, D Ds, templa tes, etc.) . | |
| 215 | c. Ve rify Check sums in Tr ansport Gl obal - Thi s option w ill allow you | |
| 216 | to ensure th e integrit y of the r outines th at are in the transp ort | |
| 217 | gl obal. | |
| 218 | ||
| 219 | 4. From t he Install ation Menu , select t he Install Package(s ) | |
| 220 | option and choos e the patc h to insta ll. | |
| 221 | ||
| 222 | 5. Wh en prompte d 'Want KI DS to Rebu ild Menu T rees Upon Completion of | |
| 223 | Install? N O//', resp ond NO | |
| 224 | ||
| 225 | 6. Wh en prompte d 'Want KI DS to INHI BIT LOGONs during th e install? | |
| 226 | NO//', res pond NO | |
| 227 | ||
| 228 | 7. Wh en prompte d 'Want to DISABLE S cheduled O ptions, Me nu Options , | |
| 229 | and Protoc ols? NO//' , respond NO | |
| 230 | ||
| 231 | 8. If prompted 'Delay Ins tall (Minu tes): (0 - 60): 0// ' respond 0. | |
| 232 | ||
| 233 | Post-Insta llation In structions : | |
| 234 | ---------- ---------- ---------- - | |
| 235 | This patch kicks off a Post In stall rout ine to run OR3P453 w hich will run | |
| 236 | a Backgrou nd Job to create the EPRACDT N ew Style c ross refer ence along | |
| 237 | with the d ata for th is index f rom the OR DER file ( #100). On ce it has | |
| 238 | finished, it will se nd a MailM an message indicatin g so to th e installi ng | |
| 239 | user. Use rs should not instal l the Prov ider Role Change GUI unless an d | |
| 240 | until this Backgroun d Job has run to com pletion. W hoever kic ked off th e | |
| 241 | OR*3*453 I nstall can get the T askMan job for this Background Job by | |
| 242 | looking at the Insta ll File Pr int for th e Install. | |
| 243 | ||
| 244 | The 'EPRAC DT' (XREF creation t ask) can t ake over 4 8 hours to complete | |
| 245 | when proce ssing larg e VistA OR DER files (#100). If system lo ad or syst em | |
| 246 | journaling is a conc ern during the backg round exec ution of t he job | |
| 247 | 'EPRACDT' (XREF crea tion task) , that bac kground jo b can be s topped and | |
| 248 | restarted to allow f or normal system res ponse time s or load balancing. | |
| 249 | ||
| 250 | The follow ing instru ctions are a condens ed version of the mo re detaile d | |
| 251 | instructio ns include d in the P atch OR*3. 0*453 Prov ider Role Change | |
| 252 | Deployment , Installa tion, Back -out and R ollback Gu ide. It is highly | |
| 253 | recommende d you revi ew that do cument pri or to inst allation f or a more | |
| 254 | comprehens ive unders tanding of the patch and all o f the cons iderations | |
| 255 | that need review pri or to the installati on of the patch. | |
| 256 | ||
| 257 | Note: The progressio n status o f the 'EPR ACDT' (XRE F creation task) can be | |
| 258 | monitored by request ing IT to run '>D CH ECK^OR3P45 3' the fol lowing is an | |
| 259 | example of that prog ression st atus repor t: | |
| 260 | ||
| 261 | (Task to C reate 'EPR ACDT' Begu n Aug 10, 2018@09:57 :20. | |
| 262 | ...Current ly, 15% of Records h ave been P rocessed.) | |
| 263 | ||
| 264 | To STOP th e 'EPRACDT ' (XREF cr eation tas k) require s locating the | |
| 265 | background job task number. Th e 'EPRACDT ' backgrou nd process ing Task | |
| 266 | number is displayed during pat ch install ation and is also lo cated in t he | |
| 267 | patch inst allation l og. The fo llowing is an exampl e of how t he backgro und | |
| 268 | task numbe r is repor ted during patch ins tallation and in the patch | |
| 269 | installati on log: | |
| 270 | ||
| 271 | (Running P ost-Instal l Routine: POST^OR3P 453 Task # 2086121 qu eued to st art | |
| 272 | Aug 10, 20 18@09:57:2 0) | |
| 273 | ||
| 274 | If you nee d to STOP the backgr ound 'EPRA CDT' task have your IT access the | |
| 275 | TBOX User' s Toolbox [XUSERTOOL S] menu op tion locat ed on the EVE System s | |
| 276 | Manager Me nu. When p rompted fo r the task number en ter it, th en use the | |
| 277 | Stop Task menu optio n, this wi ll stop th e 'EPRACDT ' task (wh ich can be | |
| 278 | restarted again). To verify th at the 'EP RACDT' tas k has been shut down | |
| 279 | use the Di splay stat us option which shou ld confirm the syste m received | |
| 280 | the shutdo wn request . | |
| 281 | ||
| 282 | To RESTART the 'EPRA CDT' (XREF creation task) requ est IT to run '>D | |
| 283 | POST^OR3P4 53' which will sched ule a back ground tas k (with a NEW Task | |
| 284 | number) th at will co ntinue pro cessing fr om the poi nt when it was | |
| 285 | previously shut down and conti nue proces sing until completio n unless t he | |
| 286 | processing is stoppe d again. | |
| 287 | ||
| 288 | In order f or a speci fic user t o have acc ess to the new Provi der Role | |
| 289 | Change men u option o ff the Too ls menu, a ppropriate Site IT p ersonnel | |
| 290 | should ass ign approp riate CAC users the new SECURI TY KEY cal led OR PU | |
| 291 | ACCESS alo ng with, w ithin Vist A, going i nto GENERA L PARAMETE R TOOLS of f | |
| 292 | the VistA menu, foll owed by ch oosing the EP (Edit Parameter Values) | |
| 293 | Option, fo llowed by choosing O RWT TOOLS MENU when the system asks for | |
| 294 | PARAMETER DEFINITION NAME, fol lowed by c hoosing wh at personn el should | |
| 295 | have acces s. If Site IT person nel, for e xample, ch ooses 1 Us er USR | |
| 296 | [choose fr om NEW PER SON], then enters an appropria te CAC use r name, th en | |
| 297 | enter the Sequence n umber, the n the Name =Command w ill be ask ed. At th is | |
| 298 | prompt, en ter someth ing simila r to the f ollowing: Provider R ole Change = | |
| 299 | C:\Program Files\VIS TA\Provide rUtilities .exe S=%SR V P=%PORT | |
| 300 | Which in t his exampl e assumes you are pu tting the new execut able into | |
| 301 | your local C:\Progra m Files\VI STA direct ory. | |
| 302 | ||
| 303 | Ensure tha t CPRS lau nches corr ectly with the new P rovider Ro le Change | |
| 304 | option ava ilable off the Tools menu with in CPRS to reassign the patien t | |
| 305 | orders of an Orderin g Provider who is ch anging rol es (e.g., being | |
| 306 | transferre d from VA to DoD) to one or mo re Provide rs as of a certain | |
| 307 | date/time so that fr om that po int forwar d that Pro vider or t hose Provi ders | |
| 308 | will recei ve alerts/ notificati ons for th e orders. | |
| 309 | ||
| 310 | This new P rovider Ro le Change option sho uld not la unch withi n CPRS if this | |
| 311 | patch has not yet be en install ed. | |
| 312 | ||
| 313 | ||
| 314 | Back-out, Rollback S trategy: | |
| 315 | ---------- ---------- -------- | |
| 316 | If there i s a catast rophic fai lure and y ou are ins tructed to back-out and | |
| 317 | rollback t he install ation of O R*3*453, y ou will ne ed to do t he followi ng | |
| 318 | steps belo w; it is r ecommended that the steps be f ollowed in the exact | |
| 319 | order show n. | |
| 320 | ||
| 321 | 1. Remove any record s within O RWT TOOLS MENU which have | |
| 322 | ProviderUt ilities.ex e associat ed therewi th. | |
| 323 | ||
| 324 | 2. Remove the OR PU GUI VistA option ass ociated wi th this pa tch. | |
| 325 | ||
| 326 | 3. Remove the SECURI TY KEY cal led OR PU ACCESS whi ch should eliminate any | |
| 327 | pointers t o it withi n the NEW PERSON fil e. | |
| 328 | ||
| 329 | 4. Remove all RPCs a ssociated with this patch, nam ely, ORQ3 AUTHUSR, O RQ3 | |
| 330 | CHKPATCH, ORQ3 EN, & ORQ3 XFER . | |
| 331 | ||
| 332 | 5. Return the state of edited routines a ssociated with this patch to t he | |
| 333 | state they were in p rior to th e install of OR*3*45 3 by resto ring the | |
| 334 | routines f rom the Ma ilMan mess age saved in 2a of t he Install ation | |
| 335 | Instructio ns. Delete OR3P453 & ORQ3 rout ines which are intro duced by t his | |
| 336 | patch. | |
| 337 | ||
| 338 | 6. Utilize FileMan U tilities t o Delete t he two New Style Cro ss-Referen ces | |
| 339 | (indices) associated with this patch, na mely "EPRA CDT" & "EP RTRDT". | |
| 340 | ||
| 341 | 7. Using F ileMan aga in, remove the ORDER TRANSFERS multiple Data | |
| 342 | Dictionary definitio n which sh ould allow any ORDER TRANSFERS multiple data | |
| 343 | for reassi gnments to be remove d also. N ote, befor e you remo ve this | |
| 344 | multiple, you should obtain a list of Or der #'s wh ere the Or der has be en | |
| 345 | Transferre d. | |
| 346 | ||
| 347 | 8. Using t he list of Order #'s from Step 7 above, any Provid ers who ma y | |
| 348 | have recei ved Alerts /Notificat ions for a Provider that trans ferred may | |
| 349 | wish to di spatch tho se alerts somehow. | |
| 350 | ||
| 351 | ||
| 352 | Routine In formation: | |
| 353 | ========== ========== | |
| 354 | ||
| 355 | ||
| 356 | The second line of e ach of the se routine s now look s like: | |
| 357 | ;;3.0;ORD ER ENTRY/R ESULTS REP ORTING;**[ Patch List ]**;Dec 17 , 1997;Bui ld 21 | |
| 358 | ||
| 359 | The checks ums below are new ch ecksums, a nd | |
| 360 | can be ch ecked with CHECK1^XT SUMBLD. | |
| 361 | ||
| 362 | Routine Na me: OR3P45 3 | |
| 363 | Before : n/ a After: B38226997 **453** | |
| 364 | Routine Na me: ORB3 | |
| 365 | Before :B14141195 8 After: B149949704 **31,74, 91,105,139 ,190,220,2 53, | |
| 366 | 265,296 ,348,350,4 52,453** | |
| 367 | Routine Na me: ORCSAV E | |
| 368 | Before :B12754411 9 After: B136792467 **7,56,7 0,73,92,94 ,116,141,1 63, | |
| 369 | 187,190 ,195,243,3 03,293,280 , | |
| 370 | 306,286 ,269,423,4 21,382,397 , | |
| 371 | 453** | |
| 372 | Routine Na me: ORELR5 | |
| 373 | Before : B2555875 8 After: B27530747 **42,453 ** | |
| 374 | Routine Na me: ORQ2 | |
| 375 | Before : B6242833 5 After: B69326826 **12,56, 75,94,141, 213,195,24 3, | |
| 376 | 282,293 ,280,346,3 61,471,453 ** | |
| 377 | Routine Na me: ORQ3 | |
| 378 | Before : n/ a After: B26136905 **453** | |
| 379 | ||
| 380 | Routine li st of prec eding patc hes: 42, 3 97, 452, 4 71 |
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