============================================================================= Run Date: AUG 29, 2014 Designation: GMRC*3*73 Package : GMRC - CONSULT/REQUEST TRACKING Priority: Mandatory Version : 3 SEQ #69 Status: Released Compliance Date: SEP 12, 2014 ============================================================================= Associated patches: (v)GMRC*3*29 <<= must be installed BEFORE `GMRC*3*73' (v)GMRC*3*44 <<= must be installed BEFORE `GMRC*3*73' (v)GMRC*3*46 <<= must be installed BEFORE `GMRC*3*73' (v)GMRC*3*66 <<= must be installed BEFORE `GMRC*3*73' (v)LEX*2*80 <<= must be installed BEFORE `GMRC*3*73' (v)ICD*18*57 <<= must be installed BEFORE `GMRC*3*73' (v)OR*3*361 <<= must be installed BEFORE `GMRC*3*73' Subject: ICD-10 - Consult/Request Tracking Updates Category: - Enhancement (Mandatory) - Data Dictionary - Routine 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. This patch is part of the Computerized Patient Records 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 to meet the requirements proposed by the Dept. of Health and Human Services to adopt ICD-10 code set standards Clinic Orders. 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. NOTE: Functionality specific to activation of the ICD-10 code set shall not be seen by end users until the code set has been activated. Patch Components ---------------- Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------ ------------------- REQUEST/CONSULTATION PROVISIONAL Modified DIAGNOSIS (30;1) PROVISIONAL DIAGNOSIS New DATE (30.1;2) PROVISIONAL DIAGNOSIS New SYSTEM (30.1;3) The PROVISIONAL DIAGNOSIS (30) field max length was changed from 180 to 245 characters. This change facilitates displaying the full description as required by ICD-10. Two new fields were added to this file: 30.1;2 (PROVISIONAL DIAGNOSIS DATE) and 30.1;3 (PROVISIONAL DIAGNOSIS SYSTEM). These fields are required to perform lookups on ICD data. 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/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Additional Information: N/A New Service Requests (NSRs) ---------------------------- N/A Patient Safety Issues (PSIs) ----------------------------- N/A Remedy Ticket(s) & Overview --------------------------- 903302 - This is a documentation-only solution; no coding or functionality has been changed for this ticket. The Consult/Request Tracking Manual has been updated to clarify the recipients of the CONSULT/REQUEST UPDATED notification. Test Sites: ---------- Coatesville Denver Madison Northampton Orlando 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 at: http://www.domain.ext/vdl/ File Description File Name FTP Mode ---------------------------------------------------------------------- Technical Manual constm.pdf (binary) User Manual consum.pdf (binary) ICD-10 Production Overview Guide Groups 5, 6 and 7 ICD-10_PROD_OVERVIEW_GUIDE_GROUPS_5_6_7.pdf (binary) Installation Overview --------------------- This patch installs the necessary routine updates to make the GMRC package compliant with the mandate to use ICD-10 codes. The installation also contains one post-install routine that will populate the new PROVISIONAL DIAGNOSIS DATE (30.2) and PROVISIONAL DIAGNOSIS SYSTEM (30.3) fields for existing entries in the REQUEST/CONSULTATION (#123) file. The PROVISIONAL DIAGNOSIS DATE will be populated using the value pulled from FILE ENTRY DATE (.01) field. The PROVISIONAL DIAGNOSIS SYSTEM field will be populated with "ICD" to indicate these diagnoses are from the ICD-9-CM coding system. These fields are only populated for existing entries where the provisional diagnosis contains an ICD code. Consult records with a free text diagnosis will not have these fields populated. Pre-installation Instructions ----------------------------- There are no pre-install steps for this patch. Installation Instructions ========================== NOTE: This patch should not be queued. It is not necessary to disable any options. You should install this patch during a period of low usage to avoid potential disruption to users. The installation time will vary with the number of entries in the REQUEST/CONSULTATION file (#123). Installation times reported during testing were between approximately 25 and 50 minutes. 1. Download the GMRC_30_73.KID file from the appropriate FTP Server to a directory on your system. 2. Use the LOAD A DISTRIBUTION option on the KIDS INSTALLATION menu, and enter: [DIR:]GMRC_30_73.KID, where [DIR:] is the local directory where you have stored the host file. 3. From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, you may elect to use the following options. When prompted for the INSTALL enter the patch: GMRC*3.0*73 a. Print Transport Global - This option lets you print the contents of a Transport Global that is currently loaded in the ^XTMP global. b. 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. c. 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.). d. 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: GMRC*3.0*73 5. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//' Answer 'NO' 6. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//' Answer 'NO' Post-Installation Instructions ------------------------------ There are no post-install instructions for this patch. The post-install routine, GMRCY73, is not automatically deleted after installation. If desired, this routine may be manually deleted from the system once the installation has successfully completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;CONSULT/REQUEST TRACKING;**[Patch List]**;DEC 27, 1997;Build 22 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMRCEDT1 Before: B51689293 After: B70113386 **1,5,12,15,22,33,47,66,73** Routine Name: GMRCEDT2 Before: B18295173 After: B17559466 **1,5,12,15,22,33,66,46,73** Routine Name: GMRCEDT3 Before: B17640061 After: B21921693 **1,5,15,22,66,73** Routine Name: GMRCEDT4 Before: B81417633 After: B85583529 **1,5,12,15,22,33,66,73** Routine Name: GMRCGUIC Before: B55896800 After: B69004877 **4,12,20,15,22,33,66,73** Routine Name: GMRCGUIU Before: B30098345 After: B30591724 **4,12,15,17,22,66,73** Routine Name: GMRCHL72 Before: B16156048 After: B16984753 **1,5,12,15,29,73** Routine Name: GMRCHL7A Before: B29763566 After: B31527698 **1,5,12,15,21,22,33,68,66,73** Routine Name: GMRCHL7B Before: B26928400 After: B29886300 **1,5,12,21,17,22,33,66,46,73** Routine Name: GMRCIAC1 Before: B69544228 After: B78977784 **22,66,73** Routine Name: GMRCIACT Before: B61170306 After: B68184742 **22,47,58,66,73** Routine Name: GMRCISG1 Before: B28005109 After: B31718858 **22,66,73** Routine Name: GMRCP5B Before: B37235428 After: B43394633 **4,13,12,15,24,23,22,29,65,66,73** Routine Name: GMRCSLM2 Before: B77652080 After: B92878039 **1,4,18,15,17,23,22,65,66,73** Routine Name: GMRCSLM4 Before: B39009534 After: B48679858 **4,12,15,22,50,64,72,73** Routine Name: GMRCY73 Before: n/a After: B682231 **73** Routine list of preceding patches: 46, 72 ============================================================================= User Information: Entered By : Date Entered : SEP 02, 2011 Completed By: Date Completed: AUG 27, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== No routines included