$TXT Created by at CHEY231.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 05/20/14 at 21:58 ============================================================================= Run Date: NOV 13, 2014 Designation: EDP*2*2 Package : EDP - EMERGENCY DEPARTMENT Priority: Mandatory Version : 2 SEQ #4 Status: Released Compliance Date: DEC 04, 2014 ============================================================================= Associated patches: (v)LEX*2*80 <<= must be installed BEFORE `EDP*2*2' (v)PX*1*199 <<= must be installed BEFORE `EDP*2*2' (v)ICD*18*57 <<= must be installed BEFORE `EDP*2*2' (v)EDP*2*6 <<= must be installed BEFORE `EDP*2*2' Subject: EDP ICD-10 CLASS 1 REMEDIATION Category: - Enhancement (Mandatory) - Routine Description: ============ IMPLEMENTS ICD 10 REMEDIATION FOR EDIS 2.1.2 ENHANCEMENT WITH MINOR FIXES 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 implementation date (currently October 1, 2015) 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. The intent of this patch is to: 1. Provide the ability to search on ICD-10-CM diagnosis codes. The search function is performed on the Emergency Department Integration System using Advanced Search Functionality. Diagnosis codes entered for a "Time in" date prior to the ICD-10 implementation date will be ICD 9 codes. Diagnosis codes entered on or after the ICD-10 implementation date will be ICD-10 codes. 2. Provide the ability to edit closed view to update the "Time In" and change ICD-9 codes to ICD-10 codes or to change ICD-10 codes to ICD-9 codes. 3. Add the ICD column header and ICD Type column header to reports. In reports that already have the ICD-9 column header, the header will be changed to just ICD. Reports affected by this change are the Activity report, The Delay report, The Exposure Report, The Mental Health Report (formerly known as the Behavioral Health or BVAC report), Admissions Report, Custom Worksheets and Ad Hoc reports. 4. Correct 5 minor defects. Remedy Ticket(s) & Overviews: ----------------------------- 1. CQ EDIS00001187 (Remedy INC000000897239) EDIS will now allow a user to remove a patient without selecting a Provider for the following special classes of Disposition: - Left without being treated - Patient name entered in error - Sent to primary care 2. CQ EDIS00001188 (Remedy INC000000897799) Nurses and Resident roles now correctly open the Edit Closed worksheet. 3. CQ EDIS00001189 (Remedy INC000000898138) Selecting the first bed in the list of the Visit worksheet no longer brings up a 'Missing Bed' popup when clicking on the "Save" button. 4. CQ EDIS00001190 The Provider report has been removed from EDIS. 5. CQ EDIS00001192 After a user switches from viewing an Edit Closed worksheet to editing and saving a Visit worksheet, the Visit worksheet no longer blanks out. Patch Components ================ EDIS API's modified to return ICD-10 codes Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------------------------------------------------------------------ N/A 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 ------------- ---- ------------------ -------------------- N/A Additional Information: Parameter(s): Coding System Parameter added to internal API calls Remote Procedure Call(s) N/A New Service Requests (NSRs): ---------------------------- NSR 20070902, ICD-10-CM Conversion Patient Safety Issues (PSIs): ----------------------------- N/A Test Sites: ----------- Captain James A. Lovell Federal Health Care Center North Chicago, IL John D. Dingell VA Medical Center Detroit, MI Minneapolis VA Medical Center Minneapolis, MN Software and Documentation Retrieval Instructions: ------------------------------------- This section contains the following software and documentation files that support the new functionality and minor fixes introduced by this patch: 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 Document Library at: http://www.domain.ext/vdl/application.asp?appid=179 File Description File Name FTP Mode ------------------------------------------------------------------------- EDIS Release Notes EDIS_2_1_2_RN.PDF BINARY EDIS Technical Manual EDIS_2_1_2_TM.PDF BINARY EDIS User Manual EDIS_2_1_2_UM.PDF BINARY EDIS Big Board Inst. Guide EDIS_2_1_2_BigBrd_IG.PDF BINARY EDIS Server&Client Inst. Guide EDIS_2_1_2_ IG.PDF BINARY EDIS Glossary EDIS_2_1_Glossary.PDF BINARY Patch Installation: Pre/Post Installation Overview ------------------------------ There are no pre or post installation routines. Patch consists of 16 routines with no file or template updates. The EAR file is installed at a National Level at the AITC/PITC servers and will be handled by the DCO Server Administrators. 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 5 minutes to install. Installation Sequence and Coordination -------------------------------------- There are four parts to the EDIS 2.1.2 (EDP*2.0*2) installation. 1. Installation of edis-tracking-application-2.1.2.ear file on Oracle Weblogic Application Server by Enterprise Operations. This step has been completed. 2. Installation of EDP*2.0*2 on the site's VistA server. 3. Update the URL on all the site's client/user workstations. 4. Update the URL for the site's EDIS Big Board. Refer to the EDIS v2.1.2 Big Board Installation Guide (see Section 2 below for location of Referenced Documents). NOTE: Step 1 above has been completed by Enterprise Operations. Step 2 should immediately be followed by Steps 3 and 4 at the site. Pre-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 # (EDP*2.0*2): a. Backup a Transport Global - This option will create a backup message of any routines exported with this patch. It will not back up any other changes such as DDs 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, DDs, 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 EDP*2.0*2. 5. If 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 ------------------------------ EDPCONV may need to be run if this is an upgrade from prior to EDIS 1.0. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;EMERGENCY DEPARTMENT;**[Patch List]**;Feb 24, 2012;Build 23 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: EDP22PST Before: n/a After: B737172 **2** Routine Name: EDPCONV Before: B69787121 After: B70928886 **2** Routine Name: EDPFAA Before: B36904209 After: B37763699 **6,2** Routine Name: EDPFLEX Before: B1745474 After: B10693270 **2** Routine Name: EDPLEX Before: n/a After: B11049187 **2** Routine Name: EDPLOG Before: B58048189 After: B64279489 **6,2** Routine Name: EDPLPCE Before: B32808524 After: B39952113 **2** Routine Name: EDPQLE Before: B43232281 After: B55054483 **6,2** Routine Name: EDPQPCE Before: B3317665 After: B6816999 **6,2** Routine Name: EDPRPT1 Before: B50357723 After: B51586751 **6,2** Routine Name: EDPRPT10 Before: B30220543 After: B32122849 **6,2** Routine Name: EDPRPT2 Before: B24332800 After: B26475007 **6,2** Routine Name: EDPRPT7 Before: B20666458 After: B23000869 **2** Routine Name: EDPRPT7C Before: B22153636 After: B24197469 **6,2** Routine Name: EDPRPTBV Before: B28273730 After: B30889629 **6,2** Routine Name: EDPX Before: B12709600 After: B16354064 **6,2** Routine list of preceding patches: 6 ============================================================================= User Information: Entered By : Date Entered : APR 04, 2012 Completed By: Date Completed: NOV 12, 2014 Released By : Date Released : NOV 13, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT