$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Monday, 03/31/14 at 10:03 ============================================================================= Run Date: AUG 29, 2014 Designation: ACKQ*3*21 Package : ACKQ - QUASAR Priority: Mandatory Version : 3 SEQ #18 Status: Released Compliance Date: SEP 12, 2014 ============================================================================= Associated patches: (v)ACKQ*3*6 <<= must be installed BEFORE `ACKQ*3*21' (v)LEX*2*80 <<= must be installed BEFORE `ACKQ*3*21' (v)ICD*18*57 <<= must be installed BEFORE `ACKQ*3*21' (v)ACKQ*3*22 <<= must be installed BEFORE `ACKQ*3*21' Subject: QUASAR ICD-10 REMEDIATION Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other - Print Template - Sort Template Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Prod_Overview_Guide_Groups_5_6_7.pdf) posted on the Anonymous directory for installation order. This is critical for proper functionality of the ICD-10 Software. The International Classification of Diseases, Tenth Revision (ICD-10) Class 1 Software Remediation project replaces the 30-year-old set of diagnosis and procedure codes (ICD-9-CM) that medical personnel use. Dates of service, or dates of discharge for inpatients, that occur on or after the ICD-10 activation date will use the ICD-10 code set. Clinical Modification (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 codes to more than 68,000. Procedure Coding System (ICD-10-PCS) procedure codes increase from about 3,800 ICD-9 codes to nearly 87,000. Both systems also expand the number of characters allotted to seven alpha-numeric characters. This value does not include the decimal point, which follows the third character for the ICD-10-CM code set. There is no decimal point in the ICD-10-PCS code set. These code sets have the potential to reveal more about quality of care, so that data can be used in a more meaningful way to better understand complications, better design clinically robust algorithms, and better track the outcomes of care. ICD-10-CM also incorporates greater specificity and clinical detail to provide information for clinical decision making and outcomes research. This request, when implemented, will allow the Veterans Health Administration (VHA) to accommodate the entry, display, lookup, view, print, storage, and transmission of the ICD-10-code sets in the Veterans Health Information Systems and Technology Architecture (VistA) legacy and HealtheVet systems for Quality Audiology and Speech Analysis and Reporting (QUASAR). The New Visit Entry and Edit Visit Entry screens have been modified to reflect either ICD-9 and/or ICD-10 codes. Also the Patient Inquiry Screen has been updated to allow for ICD-10 codes. The following reports have been updated with ICD-10 code set: Visits by Diagnosis Print A&SP File Entries Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- ------------------------------- -------------------- A&SP DIAGNOSTIC CONDITION (#509850.1) (File Description MODIFIED) CODE (#.01) MODIFIED MODIFIERS ALLOWED (#.02) MODIFIED CLINIC STOP (#.04) MODIFIED HEARING LOSS CODE (#.05) MODIFIED ACITIVE (#.06) MODIFIED ICD VERSION (#.07) NEW ALLOWABLE MODIFIERS (sub-file)(#509850.11) MODIFIED ALLOWABLE MODIFIERS (#.01) MODIFIED DESCRIPTION (#.02) MODIFIED A&SP CLINIC VISIT (#509850.6) DIAGNOSTIC CODE (sub-file)(#509850.63) DIAGNOSTIC CODE (#.01) MODIFIED *MODIFIER (#.15) MODIFIED PCE ERROR (sub-file)(#509850.65) PCE FIELD NAME MODIFIED A&SP WORKLOAD (#509850.7) ICD (sub-file)(#509850.71) MODIFIED DIVISION (sub-file)(#509850.75) MODIFIED DIVISION ICD (sub-file)(#509850.751) MODIFIED 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 (#) New/Modified/Deleted ------------- ---- ------------------ -------------------- ACKQ DIAG COND 10 Print A&SP DIAGNOSTIC CONDITION (#509850.1) NEW ACKQ DIAG COND 9 Print A&SP DIAGNOSTIC CONDITION (#509850.1) NEW ACKQ DIAG COND ICD-10 Sort A&SP DIAGNOSTIC CONDITION (#509850.1) NEW ACKQ DIAG COND ICD-9 Sort A&SP DIAGNOSTIC CONDITION (#509850.1) NEW Additional Information: N/A New Service Requests (NSRs): ----------------------------- NSR 20070902, ICD-10-CM Conversion Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- Miami VA Healthcare System, Miami, FL Michael E. DeBakey VA Medical Center, Houston, TX John D. Dingell VA Medical Center, Detroit, MI Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. 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.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext The documentation will be in the form of Adobe Acrobat files. Documentation can also be found on the VA Software Documentation Library (VDL) at: http://www4.domain.ext/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- Production Overview Guide ICD-10_Prod_Overview_ (binary) Groups 5, 6, & 7 Guide_Groups_5_6_7.pdf QUASAR User Manual ACKQ3_0UM.pdf (binary) QUASAR Technical Manual ACKQ3_0TM.pdf (binary) ICD-10 Release Notes for QUASAR ICD-10_RN_ACKQ_3_21.pdf (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ Pre-Installation Instructions ------------------------- 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 five minutes to install. Installation Instructions ----------------------------- 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following option. When prompted for the INSTALL enter the patch # (ACKQ*3.0*21): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not backup any other changes such as DD's 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, DD's, 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. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. Enter ACKQ*3.0*21. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO. 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', respond NO. 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', respond NO. 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ Routines ACKQ3P21, ACKQ3P22, ACKQ3P23, ACKQ3P24, ACKQ3P25, ACKQ3P26, ACKQ3P27, ACKQ3P28, ACKQ3P29, ACKQ3P30 and ACKQ3P31 can be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;QUASAR;**[Patch List]**;Feb 11, 2000;Build 40 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ACKQ3P21 Before: n/a After: B10292761 **21** Routine Name: ACKQ3P22 Before: n/a After:B107295732 **21** Routine Name: ACKQ3P23 Before: n/a After:B163591953 **21** Routine Name: ACKQ3P24 Before: n/a After:B175490838 **21** Routine Name: ACKQ3P25 Before: n/a After:B180734387 **21** Routine Name: ACKQ3P26 Before: n/a After:B170351193 **21** Routine Name: ACKQ3P27 Before: n/a After:B181236934 **21** Routine Name: ACKQ3P28 Before: n/a After:B173816917 **21** Routine Name: ACKQ3P29 Before: n/a After:B176695818 **21** Routine Name: ACKQ3P30 Before: n/a After:B177402525 **21** Routine Name: ACKQ3P31 Before: n/a After: B51665533 **21** Routine Name: ACKQAICD Before: n/a After: B957364 **21** Routine Name: ACKQASU Before: B23317920 After: B23248447 **8,15,16,22,21** Routine Name: ACKQASU4 Before: B47495608 After: B47445380 **17,22,21** Routine Name: ACKQDWLP Before: B86446562 After: B86401481 **1,22,21** Routine Name: ACKQFIL1 Before: B13086208 After: B14947078 **1,21** Routine Name: ACKQFILP Before: B4333469 After: B6966093 **21** Routine Name: ACKQNQ Before: B28737008 After: B48901869 **8,14,18,22,21** Routine Name: ACKQPCE1 Before: B72511274 After: B74830918 **1,2,5,7,8,16,21** Routine Name: ACKQR3 Before: B79522688 After:B157244635 **8,22,21** Routine Name: ACKQUT1 Before: B2204546 After: B3394296 **6,21** Routine Name: ACKQUTL4 Before: B89569144 After: B88886980 **1,8,14,17,16,22,21** Routine Name: ACKQUTL7 Before: B27877671 After: B46128919 **8,22,21** Routine Name: ACKQUTL8 Before: B44883529 After: B46493863 **1,2,8,21** Routine Name: ACKQWL1 Before: B17083561 After: B17758509 **21** Routine list of preceding patches: 6, 22 ============================================================================= User Information: Entered By : Date Entered : FEB 27, 2012 Completed By: Date Completed: AUG 29, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT