Patient Merge

Written by Sam Habiel. Questions? http://groups.google.com/group/hardhats.

Intro

Patient Merge is a complex piece of software. Be sure to read the manual. This will provider an overview of how to use it with WV.

Patient Merge Use Issues with WV

There are few WV-related issues with Patient Merge that first need to be resolved.

• Due to various issues on how the MPI Parameters and the Local Site are set-up, the software may try to contact the MPI to resolve a merge, and fail to merge as a result. The actual issue should be present in any WV installation that uses the site number of 050; as the MPI thinks when comparing ICN's that start with 50 (from 050) that they are national since 050 isn't the same 50. An MPI bug to be sure, but why bother?
• Patch XT*7.3*113 takes away the ability for the local site to search the patient file for duplicates, and relegates that ability only to the Central MPI.
• X-ref ALK3 in file 15 on the Merge Status field has a bug in it. A completed merge (Merge Status = Merged) does not delete the ALK index entry. Thus, the IHS patient lookup routine erroneously says that the patient is a potential duplicate patient even though the patient has been merged already. I am not sure where the bug lies (IHS patient lookup or the Patient Merge software), but the ALK x-ref documentation says it's supposed to be deleted when it's merged.

I created a patch to resolve these issues and you can find it here. This patch depends XT*7.3*113, as it fixes a change in that patch.

• Description: JJIH_PT_MERGE_SOFTWARE_UPDATES_0100.txt
• Kids: JJIH_PT_MERGE_SOFTWARE_UPDATES_0100.kids

Prerequisite Set-up Before Using Patient Merge

Your user has to have access to the XDR MAIN MENU Menu.

Your user has to have the following keys:

• XDR (for day to day use of Patient Merge)
• XDRMGR (for Manager Operations: doing the actual merge, Site Parameters)

Patient Merge Set-Up on VISTA

You need to set-up your site parameters first.

XDR MAIN MENU > Manager Utilities > Edit Site Parameters

Select Manager Utilities Option: edt  Edit Site Parameters

Select DUPLICATE RESOLUTION FILE TO BE CHECKED: PATIENT  
         ...OK? Yes//   (Yes)






                           DUPLICATE RESOLUTION FILE
FILE TO BE CHECKED: PATIENT             
_______________________________________________________________________________

                  MERGE MAIL GROUP:                               
      DUPLICATE MANAGER MAIL GROUP:                               
    POTENTIAL DUPLICATE THRESHOLD%: 60 
          DAYS BEFORE FINAL VERIFY: 0 
     DAYS BETWEEN VERIFY AND MERGE: 0 
                 NUMBER OF THREADS: 3

                         ANCILLARY SERVICE
                         -----------------
                         LABORATORY               
                         PHARMACY                 
                         RADIOLOGY                
                                                  
_______________________________________________________________________________
Click on one of the above COMMANDs, or on a FIELD




COMMAND: E                                                        HELP  Insert