============================================================================= Run Date: SEP 02, 2015 Designation: GMTS*2.7*111 Package : GMTS - HEALTH SUMMARY Priority: Mandatory Version : 2.7 SEQ #104 Status: Released Compliance Date: SEP 16, 2015 ============================================================================= Associated patches: (v)GMTS*2.7*101<<= must be installed BEFORE `GMTS*2.7*111' Subject: HEALTH SUMMARY UPDATE FOR ICD-10 PTF PROJECT Category: - Routine - Enhancement (Mandatory) - Informational Description: ============ ************************************************************************** * * * IMPORTANT: * * * * This patch is being released in support of the ICD-10 Patient * * Treatment File Modifications project. Patch DG*5.3*884 * * (Registration) is being released along with GMTS*2.7*111 (Health * * Summary), IB*2.0*522 (Integrated Billing), LR*5.2*442 (Lab Service), * * ROR*1.5*25 (Clinical Case Registries), and OR*3.0*406 (Order * * Entry/Results Reporting) in a multi-package build (host file). * * * * 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: ICD_10_PTF_MODIFICATIONS.KID; it can be * * obtained from one of the anonymous file transfer protocol (ftp) * * directories listed in the 'Software & Documentation Retrieval * * Instructions' section of this patch. * * * * Detailed information regarding pre-installation items, * * post-installation items, and installation instructions can be found * * in the Installation Guide: ICD_10_PTF_Modifications_IG.PDF. This * * document may be obtained from one of the anonymous file transfer * * protocol (ftp) directories listed in the 'Software & Documentation * * Retrieval Instructions' section of this patch. * * * * It is imperative that these patches be installed no later than the * * compliance date. Your understanding and support is appreciated. * * * ************************************************************************** ICD-10-CM will replace ICD-9-CM as the diagnostic coding system. ICD-10-PCS will replace the ICD-9-CM procedural coding system. Veterans Health Administration (VHA) software remediation for ICD-10 enabled the transition to support the use of the ICD-10 code sets; this PTF Modifications project will increase the maximum allowable codes in the entry, display, lookup, view, print, storage, and transmission of the ICD-10 code sets in the VistA legacy and HealtheVet systems. The ICD-10 PTF Modifications team proposes new functionality within the VistA Admission Discharge Transfer (ADT) module to allow up to 25 ICD-10 diagnosis codes in 701 and 501 transactions including 25 corresponding Present on Admission (POA) indicators and to allow up to 25 ICD-10 procedure codes in 401 and 601 transactions. Currently, 701 transactions allow one ICD-10 principal diagnosis with a POA indicator and up to 13 secondary diagnoses with POA indicators for a total of 14 ICD-10 diagnosis codes and 14 POA indicators. The 501 transactions allow 10 ICD-10 diagnoses codes with POA indicators. The 401 Surgeries and 601 Procedures transactions currently allow up to 5 ICD-10 procedure codes each. This Health Summary patch will update the following Health Summary Components (#142.1) to include the expanded fields as indicated: MAS ADMISSIONS/DISCHARGES - Updated to display one principal diagnosis code and up to 24 secondary diagnosis codes with each occurrence. MAS ADT HISTORY EXPANDED - Updated to display one principal diagnosis code and up to 24 secondary diagnosis codes with each occurrence. MAS DISCHARGE DIAGNOSIS - Updated to display one principal diagnosis code and up to 24 secondary diagnosis codes with each occurrence. MAS PROCEDURES ICD CODES - Updated to display up to 25 procedure codes with each occurrence MAS SURGERIES ICD CODES - Updated to display up to 25 operation codes with each occurrence The following reports utilize one or more of the aforementioned Health Summary Components and will therefore now display the expanded data fields as appropriate. HEALTH SUMMARY (#142) REMOTE DEMO/VISITS/PCE (1Y) REMOTE DEMO/VISITS/PCE (3M) REMOTE DUS SUM/SURG/PROD (12Y) OE/RR REPORT (#101.24) ORRPW ADT ADM DC ORRPW ADT DC DIAG ORRPW ADT EXP ORRPW ADT ICD PROC ORRPW ADT ICD SURG ORRPW DOD ADT EXP NOTE: This patch modifies the routine logic for the five Health Summary Components listed above. Health Summary Components can be used in several ways within VistA. Any of the following *locally created* items will also be affected by the newly updated display capability included in this patch IF those items leverage any of the affected components to generate output. Health Summary Types Health Summary Objects TIU/Health Summary Objects OE/RR Reports Objects may be of particular interest as the newly expanded display would be more noticeable when an object is embedded in areas such as boilerplate text, note templates, and reminder dialog templates. Patch Components: ----------------- N/A Files & Fields Associated: -------------------------- N/A Forms Associated: ----------------- N/A Mail Groups Associated: ----------------------- N/A Options Associated: ------------------- N/A Protocols Associated: --------------------- N/A Security Keys Associated: ------------------------- N/A Templates Associated: -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ============================ NSR #20070902 - ICD-10-CM Conversion Patient Safety Issues (PSIs): ============================= N/A Remedy Ticket(s) & Overview: ============================ N/A Test Sites: =========== The following sites participated in testing this software. * Detroit, MI * Madison, WI * Richmond, VA * West Haven, CT Software & Documentation Retrieval Instructions: ===================================== The software for this set of patches is not being distributed through the National Patch Module. Patch DG*5.3*884 (Registration) is being released along with GMTS*2.7*111 (Health Summary), IB*2.0*522 (Integrated Billing), LR*5.2*442 (Lab Service), ROR*1.5*25 (Clinical Case Registries), and OR*3.0*406 (Order Entry/Results Reporting) in a multi-package build (host file). 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: ICD_10_PTF_MODIFICATIONS.KID; it can be obtained from one of the anonymous file transfer protocol (ftp) directories listed below. Updated documentation describing the new functionality introduced by this patch is also available and can be obtained from one of the anonymous file transfer protocol (ftp) directories listed below. 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 Note: - Please use the 'Binary' transfer method for retrieval of .pdf files - Please use the 'ASCII' transfer method for retrieval of .KID files Documentation can also be found on the VA Software Documentation Library at: http://www.domain.ext/vdl/ The software distribution includes these file(s): ------------------------------------------------------------------------- ICD_10_PTF_MODIFICATIONS.KID The documentation includes these titles and file names: ------------------------------------------------------------------------- Title: CPRS: Health Summary GMTS*2.7*111 Release Notes File Name: GMTS_2_7_111_RN.pdf Title: Health Summary Technical Manual File Name: hsum_2_7_tm.pdf Title: Health Summary User Manual File Name: hsum_2_7_um.pdf Title: ICD-10 PTF Installation Guide (all patches) File Name: ICD_10_PTF_MODIFICATIONS_IG.PDF Patch Installation: ================================================== Detailed information regarding pre-installation items, post-installation items, and installation instructions can be found in the Installation Guide: ICD_10_PTF_Modifications_IG.PDF. This document may be obtained from one of the anonymous file transfer protocol (ftp) directories listed in the 'Software & Documentation Retrieval Instructions' of this patch description. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.7;Health Summary;**[Patch List]**;Oct 20, 1995;Build 14 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: GMTSDGA Before: B11914941 After: B16655517 **28,49,71,101,111** Routine Name: GMTSDGC1 Before: B15467864 After: B21632270 **5,35,47,71,101,111** Routine Name: GMTSDGC2 Before: B7198971 After: B8062721 **28,49,71,101,111** Routine Name: GMTSDGP Before: B12132145 After: B14004206 **28,49,60,71,101,111** Routine Name: GMTSPXU1 Before: B17119835 After: B24643576 **10,37,71,86,101,111** Routine list of preceding patches: 101 ============================================================================= User Information: Entered By : Date Entered : NOV 05, 2014 Completed By: Date Completed: AUG 31, 2015 Released By : Date Released : SEP 02, 2015 ============================================================================= Packman Mail Message: ===================== No routines included