$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Friday, 07/18/14 at 15:52 ============================================================================= Run Date: AUG 05, 2014 Designation: DG*5.3*850 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #780 Status: Released Compliance Date: AUG 26, 2014 ============================================================================= Associated patches: (v)DG*5.3*319 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*568 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*570 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*653 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*688 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*759 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*785 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*787 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*817 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*832 <<= must be installed BEFORE `DG*5.3*850' (v)LEX*2*80 <<= must be installed BEFORE `DG*5.3*850' (v)ICD*18*57 <<= must be installed BEFORE `DG*5.3*850' (v)ICD*18*64 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*861 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*862 <<= must be installed BEFORE `DG*5.3*850' (v)DG*5.3*870 <<= must be installed BEFORE `DG*5.3*850' (v)DI*22*170 <<= must be installed BEFORE `DG*5.3*850' Subject: ADT ICD-10 REMEDIATION Category: - Data Dictionary - Print Template - Routine - Enhancement (Mandatory) - Input Template - Other - Sort Template Description: ============ IMPORTANT INFORMATION Please read the Overview Guide 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 patch updates the Admission, Discharge, Transfer (ADT) package for ICD Remediation. The Patient Treatment File (PTF) package has been updated to allow ICD-10 Diagnosis and Procedure codes to be assigned an episode of care after the ICD-10 activation date, for the computation of the Diagnosis Related Group (DRG), and for the transmission of ICD-10 codes to the Austin Information Technology Center (AITC). In addition ICD-10 Diagnosis and Procedure codes will be used to specify a Catastrophic Disability (CD) for a patient if the Date of Decision is on or after the ICD-10 activation date. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Mod/Del ------------------ ------------------- ----------- PATIENT (#2) CD STATUS DIAGNOSIS (#.396) MODIFIED CD STATUS PROCEDURES (#.397) MODIFIED CD HISTORY (#.399) MODIFIED CATASTROPHIC DISABILITY REASONS(#27.17) ICD VERSION (#9) NEW LONG DESCRIPTION (#10) NEW PTF (#45) DRG (#9) MODIFIED PROCEDURE DATE (#45.05,.01) MODIFIED PROCEDURE 1 (#45.01) MODIFIED PROCEDURE 2 (#45.02) MODIFIED PROCEDURE 3 (#45.03) MODIFIED PROCEDURE 4 (#45.04) MODIFIED PROCEDURE 5 (#45.05) MODIFIED PRINCIPAL DIAGNOSIS (#79) MODIFIED SECONDARY DIAGNOSIS 1 (#79.16) MODIFIED SECONDARY DIAGNOSIS 2 (#79.17) MODIFIED SECONDARY DIAGNOSIS 3 (#79.18) MODIFIED SECONDARY DIAGNOSIS 4 (#79.19) MODIFIED SECONDARY DIAGNOSIS 5 (#79.201) MODIFIED SECONDARY DIAGNOSIS 6 (#79.21) MODIFIED SECONDARY DIAGNOSIS 7 (#79.22) MODIFIED SECONDARY DIAGNOSIS 8 (#79.23) MODIFIED SECONDARY DIAGNOSIS 9 (#79.24) MODIFIED SECONDARY DIAGNOSIS 10 (#79.241) MODIFIED SECONDARY DIAGNOSIS 11 (#79.242) MODIFIED SECONDARY DIAGNOSIS 12 (#79.243) MODIFIED SECODNARY DIAGNOSIS 13 (#79.244) MODIFIED POA PRINCIPAL DIAGNOSIS (#82.01) NEW POA SECONDARY DIAGNOSIS 1 (#82.02) NEW POA SECONDARY DIAGNOSIS 2 (#82.03) NEW POA SECONDARY DIAGNOSIS 3 (#82.04) NEW POA SECONDARY DIAGNOSIS 4 (#82.05) NEW POA SECONDARY DIAGNOSIS 5 (#82.06) NEW POA SECONDARY DIAGNOSIS 6 (#82.07) NEW POA SECONDARY DIAGNOSIS 7 (#82.08) NEW POA SECONDARY DIAGNOSIS 8 (#82.09) NEW POA SECONDARY DIAGNOSIS 9 (#82.1) NEW POA SECONDARY DIAGNOSIS 10 (#82.11) NEW POA SECONDARY DIAGNOSIS 11 (#82.12) NEW POA SECONDARY DIAGNOSIS 12 (#82.13) NEW POA SECONDARY DIAGNOSIS 13 (#82.14) NEW PTF (#45) Subfile CPT RECORD DATE/TIME (#30) PRIMARY DIAGNOSIS (#.04) MODIFIED PTF (#45) Subfile 401 (#40) OPERATION CODE 1 (#8) MODIFIED OPERATION CODE 2 (#9) MODIFIED OPERATION CODE 3 (#10) MODIFIED OPERATION CODE 4 (#11) MODIFIED OPERATION CODE 5 (#12) MODIFIED PTF (#45) Subfile 501 (#50) ICD 1 (#5) MODIFIED ICD 2 (#6) MODIFIED ICD 3 (#7) MODIFIED ICD 4 (#8) MODIFIED ICD 5 (#9) MODIFIED ICD 6 (#11) MODIFIED ICD 7 (#12) MODIFIED ICD 8 (#13) MODIFIED ICD 9 (#14) MODIFIED ICD 10 (#15) MODIFIED POA FOR ICD 1 (#82.01) NEW POA FOR ICD 2 (#82.02) NEW POA FOR ICD 3 (#82.03) NEW POA FOR ICD 4 (#82.04) NEW POA FOR ICD 5 (#82.05) NEW POA FOR ICD 6 (#82.06) NEW POA FOR ICD 7 (#82.07) NEW POA FOR ICD 8 (#82.08) NEW POA FOR ICD 9 (#82.09) NEW POA FOR ICD 10 (#82.1) NEW PTF (#45) Subfile 601 (#60) PROCEDURE CODE 1 (#4) MODIFIED PROCEDURE CODE 2 (#5) MODIFIED PROCEDURE CODE 3 (#6) MODIFIED PROCEDURE CODE 4 (#7) MODIFIED PROCEDURE CODE 5 (#8) MODIFIED PTF EXPANDED CODE (#45.89) ICD VERSION (#.05) NEW INPATIENT CPT CODE (#46) PRIMARY DIAGNOSIS (#.04) MODIFIED SECONDARY DIAGNOSIS 1 (#.05) MODIFIED SECONDARY DIAGNOSIS 2 (#.06) MODIFIED SECONDARY DIAGNOSIS 3 (#.07) MODIFIED SECONDARY DIAGNOSIS 4 (#.21) MODIFIED SECONDARY DIAGNOSIS 5 (#.22) MODIFIED SECONDARY DIAGNOSIS 6 (#.23) MODIFIED SECONDARY DIAGNOSIS 7 (#.24) 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 (Number) New/Mod/Del ------------- ---- ------------------ ----------- DGPT EXPANDED CODE LIST Print PTF (#45) Modified DGPT EXPANDED CODE LIST-10 Print PTF (#45) Modified DGICD-9 Print PTF (#45) New DGICD-10 Print PTF (#45) New DGPT EXPANDED CODE SORT ICD-10 Sort PTF (#45) Modified DGPT EXPANDED CODE SORT ICD-9 Sort PTF (#45) Modified DG701 Input PTF (#45) Modified DG501 Input PTF (#45) Modified DG501F Input PTF (#45) Modified DGENCD CATASTROPHIC DISABILITY List Temp PATIENT (#2) Modified Remote Procedure New/Mod/Del ---------------- ----------- DG PATIENT TREATMENT DATA Modified Additional Information: N/A New Service Requests (NSRs): ----------------------------- NSR - Request id: 20070902 ICD-10-CM Conversion 9/5/2007 http://vista.domain.ext/nsrd/ViewITRequest.asp?RequestID=20070902 Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- Pittsburgh HCS, Pittsburgh, PA Coatesville VA Medical Center, Coatesville, PA Carl Vinson VA Medical Center Dublin, GA Boise VA Medical Center Boise, ID G.V. (Sonny) Montgomery VA Medical Center Jackson, MS Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available using the File Transfer Protocol (FTP). 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 at: http://www4.domain.ext/vdl/ File Description File Name (FTP Mode) -------------------------------------------------------------------------- ICD-10 Release Notes (DG*5.3*850) icd-10_rn_dg_5_3_850.pdf (Binary) User Manual-PTF Menu ptf.pdf (Binary) User Manual-Menus Intro Orientation dg_5_3_adtbe_um.pdf (Binary) Production Overview Guide Production_Overview_Guide_Group_2.pdf (Binary) Patch Installation: Pre/Post Installation Overview ------------------------------ N/A Installation Instructions ------------------------- This patch should be installed during a period of low system activity with ADT users off the system. No options need to be placed out of service. Installation time is expected to be less than 5 minutes. NOTE: This patch installs some new data and will appear inactive for a few minutes after the install appears complete. 1. Choose the PackMan message containing this patch. 2. Choose the INSTALL/CHECK MESSAGE PackMan option. 3. From the Kernel Installation and Distribution System (KIDS) Menu, select the Installation Menu. From this menu, you may elect to use the following option. When prompted for the INSTALL enter the patch # (DG*5.3*850): 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 DG*5.3*850. 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. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. Post-Installation Instructions ------------------------------ Due to the process required for install of Files 27.17 and 45.89 it is not recommended to delete the initialization files in order to maintain a proper audit trail. However, if the site feels that an audit trail is no longer needed you may delete the DG53850A through DG53850E files. Routine Information: ==================== The second line of each of these routines now looks like: ;;5.3;Registration;**[Patch List]**;Aug 13, 1993;Build 171 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DG3PR2 Before: B16655720 After: B16122805 **26,606,617,570,850** Routine Name: DG53850A Before: n/a After: B2731764 **850** Routine Name: DG53850B Before: n/a After: B61379295 **850** Routine Name: DG53850C Before: n/a After:B105178690 **850** Routine Name: DG53850D Before: n/a After: B13639631 **850** Routine Name: DG53850E Before: n/a After:B162973581 **850** Routine Name: DGENA5 Before: B31534116 After: B40195760 **232,688,850** Routine Name: DGENCDA2 Before: B16601492 After: B16663284 **232,387,653,850** Routine Name: DGENLCD1 Before: B13497795 After: B18153404 **121,232,387,850** Routine Name: DGICD Before: n/a After: B13758086 **850** Routine Name: DGICDGT Before: n/a After: B93717009 **850** Routine Name: DGICDL Before: n/a After: B31973267 **850** Routine Name: DGICP Before: n/a After: B26601934 **850** Routine Name: DGICPL Before: n/a After: B30865954 **850** Routine Name: DGMSTR3 Before: B50687250 After: B55740424 **195,319,850** Routine Name: DGPT50DI Before: B7892059 After: B7758522 **510,850** Routine Name: DGPT601 Before: B13957329 After: B17005208 **64,164,729,850** Routine Name: DGPT60PR Before: B4626791 After: B4857421 **510,870,850** Routine Name: DGPT701 Before: B13839159 After: B13785418 **64,164,251,415,729,850** Routine Name: DGPT70DI Before: B10532600 After: B12136680 **510,850** Routine Name: DGPT70DX Before: B3771336 After: B3873659 **510,850** Routine Name: DGPTAE03 Before: B6444534 After: B10987387 **8,52,164,850** Routine Name: DGPTAE04 Before: B9485293 After: B9147597 **510,744,870,850** Routine Name: DGPTAEE Before: B10850349 After: B10892054 **64,338,678,850** Routine Name: DGPTC1 Before: B26128925 After: B26022907 **37,413,643,701,850** Routine Name: DGPTC2 Before: B10137147 After: B11527513 **58,189,643,850** Routine Name: DGPTDRG Before: B26343356 After: B50130642 **60,441,510,559,599,606,669, 729,850** Routine Name: DGPTEXPR Before: B553154 After: B41356547 **850** Routine Name: DGPTF Before: B21709372 After: B23028941 **26,58,164,195,397,565,664,850** Routine Name: DGPTF2 Before: B16869075 After: B17166598 **37,342,643,861,850** Routine Name: DGPTF4 Before: B24206467 After: B30195949 **114,115,397,510,517,478,683, 775,850** Routine Name: DGPTF41 Before: B9986685 After: B10056872 **64,635,729,850** Routine Name: DGPTF5 Before: B3539356 After: B6981494 **669,701,744,868,850** Routine Name: DGPTFAPI Before: B6885804 After: B6968721 **309,510,850** Routine Name: DGPTFD Before: B15610745 After: B19169268 **60,441,510,785,850** Routine Name: DGPTFIC Before: B27049239 After: B52898785 **510,559,599,669,704,744,832,850** Routine Name: DGPTFJC Before: B46613574 After: B63564376 **158,510,517,590,636,635,701, 729,785,850** Routine Name: DGPTFM Before: B44873663 After: B72739353 **510,517,590,594,606,635,683, 696,664,850** Routine Name: DGPTFM0 Before: B11221145 After: B10244116 **510,517,850** Routine Name: DGPTFM1 Before: B19186087 After: B18916672 **114,517,635,850** Routine Name: DGPTFM2 Before: B46843310 After: B50700609 **517,590,606,635,850** Routine Name: DGPTFM3 Before: B16822857 After: B17913974 **517,590,594,635,696,850** Routine Name: DGPTFM4 Before: B28140353 After: B31864138 **114,195,397,510,565,775,664, 759,850** Routine Name: DGPTFM5 Before: B12890159 After: B13820382 **510,606,850** Routine Name: DGPTFM6 Before: B20304000 After: B27555849 **164,510,729,850** Routine Name: DGPTFM8 Before: B9470941 After: B7609505 **729,850** Routine Name: DGPTFMO Before: B26961325 After: B32031244 **195,397,510,590,594,606,683, 729,664,850** Routine Name: DGPTFQWK Before: B20032997 After: B21436549 **517,594,635,729,850** Routine Name: DGPTFTR Before: B20387661 After: B24216608 **37,415,530,601,614,645,787,850** Routine Name: DGPTFTR0 Before: B15326585 After: B16147582 **247,510,524,850** Routine Name: DGPTFTR2 Before: B15450104 After: B17811483 **729,850** Routine Name: DGPTFVC Before: B4235217 After: B4764861 **37,234,850** Routine Name: DGPTFVC1 Before: B36905971 After: B39436670 **52,58,79,114,164,400,342,466, 415,493,512,510,544,629,817, 850** Routine Name: DGPTIC10 Before: n/a After: B95648075 **850** Routine Name: DGPTICD Before: B8832875 After: B10307606 **375,441,510,559,599,606,775, 785,850** Routine Name: DGPTODR Before: B5634642 After: B5431903 **510,729,850** Routine Name: DGPTOLC2 Before: B22638617 After: B25585897 **164,510,559,599,729,850** Routine Name: DGPTR0 Before: B25588863 After: B26425804 **114,247,338,342,510,524,565, 678,729,664,850** Routine Name: DGPTR1 Before: B28617663 After: B29920843 **58,247,338,342,423,415,565, 678,696,729,781,664,817,850** Routine Name: DGPTR2 Before: B21647835 After: B22938579 **183,338,423,510,636,729,850** Routine Name: DGPTR4 Before: B20521487 After: B20498105 **338,423,415,510,565,645,729, 664,850** Routine Name: DGPTRI0 Before: n/a After: B26605957 **850** Routine Name: DGPTRI1 Before: n/a After: B37319384 **850** Routine Name: DGPTRI2 Before: n/a After: B26956533 **850** Routine Name: DGPTRI3 Before: n/a After: B26611263 **850** Routine Name: DGPTRI4 Before: n/a After: B32872225 **850** Routine Name: DGPTSCAN Before: B23094075 After: B23143464 **29,64,114,189,729,850** Routine Name: DGPTSUDO Before: B23038460 After: B23608581 **441,510,478,785,850** Routine Name: DGPTTS Before: B17615190 After: B17997399 **26,61,164,510,850** Routine Name: DGPTTS1 Before: B23751705 After: B23805966 **26,64,418,510,478,850** Routine Name: DGPTUTL Before: B21993815 After: B22849752 **26,114,234,466,544,850** Routine Name: DGPTUTL1 Before: B30078992 After: B33275346 **33,45,54,517,635,817,850** Routine Name: VAFHLDG1 Before: B30271941 After: B28165122 **94,151,190,511,606,614,850** Routine Name: VAUTOMA Before: B12495883 After: B13075905 **111,568,850** Routine list of preceding patches: 319, 568, 570, 653, 688, 759, 785, 787 817, 832, 861, 868, 870 ============================================================================= User Information: Entered By : Date Entered : DEC 16, 2011 Completed By: Date Completed: AUG 01, 2014 Released By : Date Released : AUG 05, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT