============================================================================= Run Date: JUL 24, 2014 Designation: DG*5.3*862 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #779 Status: Released Compliance Date: AUG 24, 2014 ============================================================================= Associated patches: (v)DG*5.3*478 <<= must be installed BEFORE `DG*5.3*862' (v)LEX*2*80 <<= must be installed BEFORE `DG*5.3*862' Subject: PTF ICD-10 CHANGES FOR CLINICAL REMINDERS Category: - Data Dictionary - Routine - Other Description: ============ General Overview: ================= This patch is part of the Computerized Patient Record System CPRSv30 project. This project will modify the Computerized Patient Record System, Text Integration Utilities, Consults, Health Summary, Problem List, Clinical Reminders, and Order Entry/Results Reporting domains to meet the requirements proposed by the Dept. of Health and Human Services to replace the ICD-9 code set with the ICD-10 code set. The Clinical Reminders changes are implemented in a multi-package build that contains DG*5.3*862, GMPL*2.0*44, and PXRM*2.0*26. Detailed information about each of these builds and installation instructions can be found in the Installation Guide: PXRM_2_0_26_IG.PDF. This document can be obtained from one of the anonymous ftp directories or from the VistA Documentation Library: www.domain.ext/vdl. Because this is a multi-package build, it can only be distributed as a host file; no builds are included in the patch messages. The name of the host file is: CR_ICD-10_UPDATE.KID; it can be obtained from one of the anonymous ftp directories. On January 16, 2009, the Centers for Medicare & Medicaid Services (CMS) released a final rule for replacing the 30-year-old ICD-9-CM code set with International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) with dates of service, or date of discharge for inpatients, that occur on or after the industry activation date. The classification system consists of more than 68,000 codes, compared to approximately 13,000 ICD-9-CM codes. There are nearly 87,000 ICD-10-PCS codes, while ICD-9-CM has nearly 3,800 procedure codes. Both systems also expand the number of characters allotted from five and four respectively 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. Remedy Tickets: ============== None Test Sites: =========== Miami VA Healthcare System VA Northern California Health Care System Orlando VA Medical Center Software & Documentation Retrieval Instructions: ================================================ The software for this set of patches is not being distributed through the National Patch Module. There is a multi-package build named CLINICAL REMINDERS ICD-10 UPDATE 1.0 which contains the following KIDS builds: DG*5.3*862, GMPL*2.0*44, and PXRM*2.0*26. The associated host file is named CR_ICD-10_UPDATE.KID. The preferred method for obtaining these files is to use File Transfer Protocol (FTP) to download them from: ftp://download.vista.domain.ext/. This transmits the files from the first available FTP server. Sites may also elect to retrieve the files directly from a specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext CR_ICD-10-UPDATE.ZIP contains the following files: PXRM_2_0_26_IG.PDF PXRM_2_0_26_RN.PDF PXRM_2_0_26_UM.PDF PXRM_2_0_MM.PDF PXRM_2_0_TM.PDF PXRM_INDEX_TM.PDF Documentation can also be found on the VistA Documentation Library (VDL) at: http://www.domain.ext/vdl/ Title File Name FTP Mode ----------------------------------------------------------------------- CLINICAL REMINDERS ICD-10 UPDATE 1.0 CR_ICD-10-UPDATE.KID ASCII Clinical Reminders Patch 26 Installation Guide PXRM_2_0_26_IG.PDF Binary Clinical Reminders Patch 26 Release Notes PXRM_2_0_26_RN.PDF Binary Clinical Reminders User Manual PXRM_2_0_26_UM.PDF Binary Clinical Reminders Manager's Manual PXRM_2_0_MM.PDF Binary Clinical Reminders Technical Manual PXRM_2_0_TM.PDF Binary Clinical Reminders Index Technical Manual PXRM_INDEX_TM.PDF Binary Installation: ============= This patch can be loaded with users on the system, but it should be done during off-hours. The installation time can vary greatly depending on a number of factors, it will take anywhere from ten minutes to three hours. Before carrying out the installation please read the Clinical Reminders Patch 26 Installation Guide. There are a number of steps that must be performed before doing the install. 1. Use the 'Load a Distribution' option on the KIDS installation menu. When prompted to enter a host file type in CR_ICD-10-UPDATE.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired: Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Backup a Transport Global 3. On the KIDS menu under the 'INSTALLATION' menu, use the following option to install the patch: Install Package(s) (CLINICAL REMINDERS ICD-10 UPDATE 1.0) 4. When prompted "Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO// respond 'NO'. 5. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//," respond 'NO'. 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// respond 'NO'. 7. The init routine DG53862I may be deleted once the installation has successfully completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 138 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG53862I Before: n/a After:B108880036 **862** Routine Name: DGPTDDCR Before: B52864629 After: B88922399 **478,862** Routine list of preceding patches: 478 ============================================================================= User Information: Entered By : Date Entered : OCT 16, 2012 Completed By: Date Completed: JUL 24, 2014 Released By : Date Released : JUL 24, 2014 ============================================================================= Packman Mail Message: ===================== No routines included