$TXT Created by GILMORE,JEREMY at MNTVBB.FO-ALBANY.MED.VA.GOV  (KIDS) on Tuesday, 12/18/12 at 09:09
=============================================================================
Run Date: MAY 01, 2013                     Designation: ICD*18*62
Package : ICD - DRG GROUPER                   Priority: Mandatory
Version : 18        SEQ #60                     Status: Released
                  Compliance Date: MAY 31, 2013
=============================================================================

Associated patches: (v)ICD*18*61   <<= must be installed BEFORE `ICD*18*62'
                    (v)ICD*18*65   <<= must be installed BEFORE `ICD*18*62'

Subject: DRG GROUPER FIXES

Category: 
  - Routine

Description:
============

    The DRG (Diagnostic Related Group) Grouper is used to compute
    and display the DRG for a patient based on that patient's diagnoses
    and any operations/procedures performed.  It uses a mixture of 
    formulas, Diagnosis and Operation identifiers, and tables that rely
    on data added to the DRG file (#80.2), the ICD DIAGNOSIS file (#80)
    and the ICD OPERATION/PROCEDURE file (#80.1).  These files,
    the date, and the age of the patient determine which codes are
    needed to calculate the proper DRG.
  
    This patch corrects various DRG calculations.
  
    ASSOCIATED REMEDY TICKETS:
    ========================== 
    1)INC0000000494990 - DRG Calculations
           Duplicate:
      INC0000000707854 - DRG 003 vs DRG 004 incorrect MSDRG
    2)INC0000000517130 - DRG Calculations
           Duplicate:
      INC0000000604130 - DRG not calculating properly
    3)INC0000000592026 - DRGs not calculating correctly
    4)INC0000000592038 - DRG not calculating correctly
    5)INC0000000611104 - DRG 963 vs DRG 85
    6)INC0000000740192 - Upload from Quantim to VIP, the DRG changes
    7)INC0000000521220 - DRG not Calculating
    8)INC0000000583979 - DRG not calculating correctly 456 vs. 539
    9)INC0000000592007 - DRG not calculating correctly
   10)INC0000000608263 - DRG 808 vs 809 issue
   11)INC0000000774550 - Applications-VistA 
    
  
    ASSOCIATED NSR's:
    =================
    N/A
       
    
    PARTICIPATING TEST SITES:
    =========================
    Montana HCS
    Providence, RI
    Tampa, FL
       
    
    REMEDY OVERVIEW:
    ================
    1) INC0000000494990 - DRG Calculations
      
    Problem:
    ========
    DRG 3 is incorrectly calculating to DRG 4 in VistA.
       
    Solution:
    =========
    Updated the Major O.R. Procedure for procedure code 31.1.
    
    
    2) INC0000000517130 - DRG Calculations
  
    Problem:
    ========
    DRG 66 is incorrectly calculating to DRG 65 in VistA. 
     
    Solution:
    =========
    Updated routines ICDTBL0C, ICDTBL0D, and ICDTBL0E to 
    account for correct diagnosis codes.
  
  
    3) INC0000000592026 - DRGs not calculating correctly
  
    Problem:
    ========
    There are three total issues listed in the ticket; however, two
    of the issues have already been fixed or will be fixed in this
    patch by another ticket.
  
    DRG 42 is incorrectly calculating to DRG 87 in VistA.
     
    Solution:
    =========
    Updated routines ICDTBL0C, ICDTBL0D, and ICDTBL0E to account
    for correct procedure codes.
  
  
    4) INC0000000592038 - DRG not calculating correctly
  
    Problem:
    ========
    DRG 12 is incorrectly calculating to DRG 580 in VistA.
  
     
    Solution:
    =========
    Updated routine ICDDRGXM to account for correct diagnosis 
    and procedure codes.
  
  
    5) INC0000000611104 - DRG 963 vs DRG 85
  
    Problem:
    ========
    DRG 963 is incorrectly calculating to DRG 85 in VistA.
     
    Solution:
    =========
    Updated the ICD DIAGNOSIS file (#80) to account for the correct
    major diagnostic category for diagnosis code 860.0.
  
  
    6) INC0000000740192 - Upload from Quantim to VIP, the DRG 
                          changes
  
    Problem:
    ========
    DRG 42 is incorrectly calculating to DRG 41 in VistA.
  
     
    Solution:
    =========
    Updated routines ICDTBL0D and ICDTBL0E to account for correct 
    diagnosis codes.
  
   
    7) INC0000000521220 - DRG not Calculating
     
    Problem:
    ========
    DRG 280 is incorrectly calculating to DRG 282 in VistA.
     
    Solution:
    =========
    Updated routines ICDTBL2C and ICDTBL2D to process
    diagnosis codes properly.
       
            
    8) INC0000000583979 - DRG not calculating correctly 456 vs. 539
      
    Problem:
    ========
    DRG 539 is incorrectly calculating to DRG 456 in VistA.
       
    Solution:
    =========
    Updated routine ICDTBL4D to account for identifier "k". 
      
      
    9) INC0000000592007 - DRG not calculating correctly
    
    Problem:
    ========
    There are two issues listed in this ticket:
    a)DRG 460 is incorrectly calculating to DRG 496 in VistA.
    b)DRG 464 is incorrectly calculating to DRG 481 in VistA.
     
    Solution:
    =========
    a)Updated the associated DRGs for procedure code 81.05.
    b)Updated the associated DRGs for procedure code 80.05.
  
   
    10) INC0000000608263 - DRG 808 vs 809 issue
    
    Problem:
    ========
    DRG 809 is incorrectly calculating to DRG 808 in VistA.
     
    Solution:
    =========
    Updated routine ICDTBL8D to account for correct
    diagnosis codes.
  
  
    11) INC0000000774550 - Applications-VistA
    
    Problem:
    ========
    The routine ICDHLPD is missing the identifier 'o' which
    is used to identify diagnosis codes related to certain
    ovarian conditions.
     
    Solution:
    =========
    Updated routine ICDHLPD to include the 'o' identifier.
  
  
    INSTALLATION INSTRUCTIONS:
    ===========================
    This patch may be run with users on the system.  However, it would
    be preferable if Medical Records coders were off the system.
    Installation will take less than 5 minutes.
    
    1.  Use the INSTALL/CHECK MESSAGE option on the PackMan menu to unload
        the KIDS distribution included with this message.
        NOTE:  If the required patches are not installed, the transport 
        global will be removed.  If the transport global is removed you will
        need to repeat this step.
    
    2.  From the Kernel Installation and Distribution System Menu, select
        the Installation menu.
    
    3.  From this menu, you may elect to use the following options
        (when prompted for INSTALL NAME, enter ICD*18.0*62):
        a.  Compare Transport Global to Current System  - this option will
            allow you to view all changes that will be made when the patch
            is installed.  It compares all components of the patch 
            (routines, DDs, templates, etc.).
        b.  Verify Checksums in Transport Global - this option will
            allow you to ensure the integrity of the routines that are in
            the transport global.
        c.  Print Transport Global - this option will allow you to view the
            components of the KIDS build.
        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 
        ICD*18.0*62.
    
    5.  When prompted 'Want KIDS to INHIBIT LOGONs during the install?
        NO//', respond No.
    
    6.  When prompted, 'Want to DISABLE Scheduled Options, Menu Options, and
        Protocols? YES//', respond Yes.
    
        When prompted, 'Enter options you wish to mark as 'Out Of Order':',
        enter:
               PTF Menu  [DG PTF MENU]
  
        When prompted, 'Enter protocols you wish to mark as 'Out Of 
        Order':', press enter.
    
    7.  Routine(s) ICD1862* can be deleted after the patch has been
        successfully installed.
    
    8.  Following installation of this patch, it is necessary to run the
        Update Transfer DRG's for Current FY [DG PTF UPDATE TRANSFER DRGs] 
        option in order to make the transfer DRGs correspond to the
        appropriate grouper.  This option updates/recalculates the transfer
        DRGs for PTF records opened during the current fiscal year.
        The option is locked with the DG PTFSUP security key.  The Menu path
        is PTF Menu/Update DRG Information Menu/Update Transfer DRG's for
        Current FY.

Routine Information:
====================
The second line of each of these routines now looks like:
 ;;18.0;DRG Grouper;**[Patch List]**;Oct 20,2000;Build 10

The checksums below are new checksums, and
 can be checked with CHECK1^XTSUMBLD.

Routine Name: ICD1862L
    Before:       n/a   After: B13559241  **62**
Routine Name: ICD1862P
    Before:       n/a   After:   B498893  **62**
Routine Name: ICDDRGXM
    Before: B10810981   After: B10793046  **31,50,62**
Routine Name: ICDHLPD
    Before: B11727225   After: B11854640  **10,14,20,24,55,62**
Routine Name: ICDTBL0C
    Before: B19961608   After: B20874721  **50,49,55,61,62**
Routine Name: ICDTBL0D
    Before: B21200955   After: B22597436  **56,61,62**
Routine Name: ICDTBL0E
    Before: B21201013   After: B22597494  **65,62**
Routine Name: ICDTBL2C
    Before: B51334945   After: B51314411  **50,49,54,55,61,62**
Routine Name: ICDTBL2D
    Before: B50218198   After: B50198003  **56,55,61,62**
Routine Name: ICDTBL4D
    Before: B24726624   After: B25052268  **56,55,62**
Routine Name: ICDTBL8D
    Before: B24982937   After: B25476852  **56,61,62**
 
Routine list of preceding patches: 61, 65

=============================================================================
User Information:
Entered By  : GILMORE,JEREMY                Date Entered  : JAN 19, 2012
Completed By: LEANORD,TATIANA               Date Completed: APR 23, 2013
Released By : BARFIELD,RICHARD              Date Released : MAY 01, 2013
=============================================================================


Packman Mail Message:
=====================

$END TXT