============================================================================= Run Date: AUG 29, 2014 Designation: GMTS*2.7*101 Package : GMTS - HEALTH SUMMARY Priority: Mandatory Version : 2.7 SEQ #103 Status: Released Compliance Date: SEP 12, 2014 ============================================================================= Associated patches: (v)GMTS*2.7*76 <<= must be installed BEFORE `GMTS*2.7*101' (v)GMTS*2.7*86 <<= must be installed BEFORE `GMTS*2.7*101' (v)LEX*2*80 <<= must be installed BEFORE `GMTS*2.7*101' (v)PX*1*199 <<= must be installed BEFORE `GMTS*2.7*101' (v)ICD*18*57 <<= must be installed BEFORE `GMTS*2.7*101' (v)GMPL*2*42 <<= must be installed BEFORE `GMTS*2.7*101' (v)SR*3*177 <<= must be installed BEFORE `GMTS*2.7*101' (v)DG*5.3*850 <<= must be installed BEFORE `GMTS*2.7*101' Subject: ICD-10 - Health Summary Updates Category: - 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. Components Sent With Patch -------------------------- Routine Summary: ================ The following is a list of the routine(s) included in this patch. Total number of routines modified: 7 Total number of new routines: 0 Total number of routines: 7 The following is a list of files included in this patch: ======================================================== N/A Test Sites: ----------- N/A Remedy Tickets Resolved ----------------------- N/A 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 hsum_2_7_tm.pdf (binary) User Manual hsum_2_7_101_um.pdf (binary) ICD-10 Production Overview Guide Groups 5, 6 and 7 ICD-10_PROD_OVERVIEW_GUIDE_GROUPS_5_6_7.pdf (binary) INSTALLATION INSTRUCTIONS: ========================== It is not necessary to disable any options. You may install these routines at any time without interruption to users. It should take less than 10 minutes to install this patch. 1. Download the GMTS_27_101.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:]GMTS_27_101.KID, where [DIR:] is the local directory where you have stored the host file. 3. From the same menu, you may select to use the following options: (when prompted for INSTALL NAME, enter GMTS*2.7*101) a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. 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. 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. 4. Use the Install Package(s) option and select the package GMTS*2.7*101 5. When Prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 6. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.7;Health Summary;**[Patch List]**;Oct 20, 1995;Build 12 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMTSDGA Before: B9637322 After: B11914941 **28,49,71,101** Routine Name: GMTSDGC1 Before: B13343413 After: B15467864 **5,35,47,71,101** Routine Name: GMTSDGC2 Before: B5767179 After: B7198971 **28,49,71,101** Routine Name: GMTSDGP Before: B11105682 After: B12132145 **28,49,60,71,101** Routine Name: GMTSPLST Before: B46234208 After: B49938082 **28,35,52,86,101** Routine Name: GMTSPXOP Before: B49221347 After: B51940559 **8,10,28,37,47,49,76,101** Routine Name: GMTSPXU1 Before: B13856268 After: B17119835 **10,37,71,86,101** Routine list of preceding patches: 76, 86 ============================================================================= User Information: Entered By : Date Entered : AUG 30, 2011 Completed By: Date Completed: AUG 27, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== No routines included