$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Tuesday, 03/11/14 at 14:13 ============================================================================= Run Date: JUN 17, 2014 Designation: IBD*3*63 Package : IBD - AUTOMATED INFO COLLECTION SYS Priority: Mandatory Version : 3 SEQ #57 Status: Released Compliance Date: AUG 01, 2014 ============================================================================= Associated patches: (v)IBD*3*55 <<= must be installed BEFORE `IBD*3*63' (v)IBD*3*56 <<= must be installed BEFORE `IBD*3*63' (v)LEX*2*80 <<= must be installed BEFORE `IBD*3*63' (v)ICD*18*57 <<= must be installed BEFORE `IBD*3*63' (v)IBD*3*64 <<= must be installed BEFORE `IBD*3*63' Subject: AICS ICD-10 CLASS 1 REMEDIATION Category: - Routine - Data Dictionary - Other - Enhancement (Mandatory) Description: ============ 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 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 patch IBD*3.0*63 makes the following changes to the Automated Information Collection System (AICS) package: 1. Addition of the new "Encounter Forms ICD-10 Update" report. - A new menu item--Encounter Forms > Reports and Utilities > Encounter Forms ICD-10 Update--was introduced to run this report. This new report allows the user to display a list of Encounter Forms and Clinics after making selections from several input options. When the report has been displayed, the user may then update the ICD-10 Status field. Two new routines were written for this new report: IBDFUTL4 and IBDFUTL5. - Two date fields show the latest dates that the form was changed. The history fields contain the user ID (DUZ) of the person who last changed the files. 2. Modification of some AICS routines to replace direct global reads and old Application Program Interfaces (APIs) with new Lexicon and Global Coding system APIs wherever possible. Several AICS routines were modified to replace direct global reads to the ICD Diagnosis file (#80). For example, a direct read to ^ICD9(IEN#,0) to find the ICD code or description was replaced by a call to this API: ICDDATA^ICDXCODE. These routines were changed to accommodate this: IBDFBK2, IBDFN4, IBDFN7, IBDFN8, IBDFN9, IBDFN11, IBDFN14, IBDFLST, IBDFUTL and IBDFUTL1. 3.Modifications of the software to use hardcoded ICD-10 code "R69." for ICD-10 coding whenever the ICD-9 logic is using hardcoded ICD-9 code "799.9". 4. Addition of ICD-10 Code selections in Encounter Forms and Maintenance Utility Active/Inactive Report. 5. Addition of Input Type ICD-10 Code Interface Package. 6. Addition of Selection Type ICD-10 Code Interface Package. 7. Addition of ICD-10 Code Tool Kit Block. 8. Addition of ICD-10 Code text verbiage. 9. Addition of ICD-10 Code wildcard search help text. 10. Changes have been made to ICR# 1296 to introduce new parameters values for the API GETLST^IBDF18A. 11. The Replace Code option in the Maintenance Utility Report uses the approved standard Lexicon partial code search. 12. Help text has been further refined to define a partial code wild card search. 13. The Problem List Package Interfaces are obsolete. Because of this, the Problem List Package Interfaces have been made Unavailable. This will relieve all dependencies on Computerized Patient Record System (CPRS) v29. 14. If the user editing Encounter Forms has Lexicon User Filters in place those filters will be honored with the exception of editing an ICD-9 block or editing an ICD-10 block within the encounter form. When editing ICD-9 blocks the user will be allowed to choose from any ICD-9 code and when editing an ICD-10 block the user will be allowed to select any ICD-10 code, regardless of what Lexicon User Filters are in place. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- ----------------------------- ------------------- ENCOUNTER FORM (#357) CODING SYSTEM UPDATES (sub-file)(#357.03) New CODING SYSTEM (#.01) New UPDATE STATUS (#.02) New DATE LAST EDITED (#.03) New CHANGES MADE BY (#.04) New SELECTION (#357.3) ICD CODE EDIT DATE/TIME (#4.01) New ICD CHANGES MADE BY (#4.02) New PACKAGE INTERFACE (#357.6) ICD CODING SYSTEM (#.22) New Forms Associated: N/A Mail Groups Associated: N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- IBDF REPORTS MENU Menu Modified IBDF UTIL UPDATE ICD10 STATUS Run routine New Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- IBDF ICD10 STATUS UPDATE New IBDF ICD10 STATUS UPDATE CL New IBDF ICD10 STATUS UPDATE JP New IBDF ICD10 STATUS UPDATE IS New IBDF ICD10 STATUS UPDATE PL New Security Keys Associated: N/A Templates Associated: Template Name Type New/Modified/Deleted ------------------------- ------------- -------------------- IBDF ICD10 STATUS REPORT LIST TEMPLATE New IBDF QUICK SELECTION EDIT LIST TEMPLATE Modified IBDF UTIL COMPLETE LIST TEMP LIST TEMPLATE Modified IBDF UTIL PRIMARY SCREEN LIST TEMPLATE Modified Additional Information: N/A New Service Requests (NSRs): ----------------------------- NSR 20070902, ICD-10-CM Conversion Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- Remedy Ticket #620277 Anomaly in current functionality to "replace" code using MU. Problem: ------- When a user terminates out of the Replace Code prompts with an '^' or a time out, the ICD-9 or ICD-10 code is replaced. Resolution: ---------- The Replace Code option in the Maintenance Utility Report has been modified to fix a defect in the termination logic. The original ICD-9 or ICD-10 code will now be returned to the Encounter Form(s). Test Sites: ----------- Coatesville VA Medical Center, Coatesville, PA Orlando VA Medical Center, Orlando, FL Miami VA Healthcare System, Miami, FL 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 Documentation can also be found on the VA Software Documentation Library at: http://www4.domain.ext/vdl/ The documentation will be in the form of Adobe Acrobat files. File Description File FTP Mode ------------------------------------------------------------------------ ICD-10 Release Notes (IBD*3*63) ICD-10_RN_IBD_3_63.pdf (binary) Technical Manual aics3_0tm.pdf (binary) User Manual aics3_0um.pdf (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ The post install process performs the following updates and additions: a) Inactivating obsolete Problem List Package Interfaces b) Adding an "ICD-10 DIAGNOSIS CODE" record to #359.1 file c) Adding a "SHORT NARRATIVE (60 CHAR)" record to #359.1 file" d) Adding "INPUT DIAGNOSIS CODE (ICD10)" record to #357.6 file" e) Adding "DG SELECT ICD-10 DIAGNOSIS CODES" record to #357.6 file" f) Adding ICD-10 blocks to both the TOOL KIT form and the DEFAULTS form. The IBD*3.0*63 patch adds new ICD-10 related entries to various AICS files during its installation. It also updates some existing entries in AICS files. One of the entries that is updated by the installation process is the DEFAULTS form in File #357, which contains all standard blocks. During installation the new ICD-10 block is added to the DEFAULTS form. This standard form is supposed to reside in all AICS databases and should not be deleted. In case it was deleted for some reason, the IBD*3.0*63 installation process checks if the DEFAULTS form exists in the AICS environment. If it is not found, then a warning message is printed on the screen and to the installation log, and the following e-mail is sent to the person who is installing the patch or to the POSTMASTER user: The DEFAULTS form was not found in the environment and therefore the installation process didn't add the new ICD-10 block to the DEFAULTS form. Please log a Remedy ticket to add the DEFAULTS form to your AICS environment if you need it. When you have it in the environment you can use TK menu options to add the ICD-10 block to the DEFAULTS form manually. g) Changing block names from "DIAGNOSIS (V2.1)" to "ICD-9 DIAGNOSIS (V2.1)" h) Changing text In the INPUT DIAGNOSIS CODE (ICD9) record from "Diagnosis Code" to "ICD-9 Diagnosis code" i) Setting the Coding System flag in #357, field #.22 for ICD-9 and ICD-10 Package Interfaces. Note: The database changes b) through i) listed above can be done only once. If the patch is installed the 2nd time then this portion of the post-install process will be skipped. 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. 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 # (IBD*3.0*63): 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 IBD*3.0*63. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond YES. 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 ------------------------------ N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;AUTOMATED INFO COLLECTION SYS;**[Patch List]**;APR 24, 1997;Build 80 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: IBD3P63 Before: n/a After:B207259739 **63** Routine Name: IBD3P63A Before: n/a After: B19965661 **63** Routine Name: IBDF18A Before: B47580981 After: B52196782 **34,38,51,63** Routine Name: IBDF18A2 Before: B5894591 After: B9535002 **51,55,63** Routine Name: IBDF3 Before: B26445717 After: B32292279 **15,63** Routine Name: IBDF4 Before: B73953175 After: B99102539 **19,38,56,63** Routine Name: IBDF4A Before: B40998233 After: B45844893 **38,63** Routine Name: IBDF5 Before: B17073479 After: B22015459 **63** Routine Name: IBDF5B Before: B17974851 After: B36424692 **63** Routine Name: IBDF5C Before: B8857181 After: B13407929 **63** Routine Name: IBDF5D Before: B6700922 After: B9905178 **63** Routine Name: IBDF6A Before: B15897163 After: B20397072 **63** Routine Name: IBDF7 Before: B5091202 After: B8201139 **63** Routine Name: IBDF9A1 Before: B20396325 After: B20739240 **63** Routine Name: IBDFDE1 Before: B55163756 After: B57533893 **38,36,63** Routine Name: IBDFDE2 Before: B50073672 After: B50446438 **4,63** Routine Name: IBDFDE21 Before: B84112928 After: B92448772 **4,38,23,63** Routine Name: IBDFDE41 Before: B15981896 After: B17484519 **63** Routine Name: IBDFLST Before: B28703563 After: B47525530 **9,38,51,63** Routine Name: IBDFLST1 Before: B2836396 After: B2883654 **63** Routine Name: IBDFN12 Before: B9858869 After: B12645888 **12,38,40,51,63** Routine Name: IBDFN14 Before: B8732971 After: B13316681 **12,38,51,63** Routine Name: IBDFN4 Before: B13325324 After:B227563778 **38,51,64,63** Routine Name: IBDFN4A Before: n/a After: B16711898 **63** Routine Name: IBDFN7 Before: B4134968 After: B8761450 **38,51,64,63** Routine Name: IBDFN8 Before: B889456 After: B1969782 **25,38,51,63** Routine Name: IBDFN9 Before: B876630 After: B1176196 **38,36,51,63** Routine Name: IBDFQEA Before: B31331634 After: B39066741 **15,38,63** Routine Name: IBDFQSL Before: B5375184 After: B6204351 **63** Routine Name: IBDFQSL1 Before: B16849153 After: B19411131 **63** Routine Name: IBDFU1B Before: B23536814 After: B25321593 **63** Routine Name: IBDFU2 Before: B27823065 After: B28385446 **15,63** Routine Name: IBDFU3 Before: B20119293 After: B22140976 **63** Routine Name: IBDFUTL Before: B30782217 After:B144569260 **9,32,51,63** Routine Name: IBDFUTL1 Before: B52493604 After: B54382869 **32,23,51,63** Routine Name: IBDFUTL2 Before: B23965933 After: B28328999 **9,63** Routine Name: IBDFUTL3 Before: B4956030 After: B9491211 **63** Routine Name: IBDFUTL4 Before: n/a After:B156393751 **63** Routine Name: IBDFUTL5 Before: n/a After: B45996359 **63** Routine Name: IBDLXDG Before: n/a After:B102250951 **63** Routine Name: IBDLXDG2 Before: n/a After: B41791567 **63** Routine Name: IBDUTICD Before: n/a After: B26868434 **63** Routine Name: IBDUTIL1 Before: n/a After: B32332726 **63** Routine Name: IBDVAUT1 Before: n/a After: B9357477 **63** Routine list of preceding patches: 55, 56, 64 ============================================================================= User Information: Entered By : Date Entered : JUL 20, 2011 Completed By: Date Completed: JUN 17, 2014 Released By : Date Released : JUN 17, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT