$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Tuesday, 05/06/14 at 16:19 ============================================================================= Run Date: AUG 05, 2014 Designation: ICD*18*64 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #68 Status: Released Compliance Date: AUG 26, 2014 ============================================================================= Associated patches: (v)LEX*2*80 <<= must be installed BEFORE `ICD*18*64' (v)ICD*18*57 <<= must be installed BEFORE `ICD*18*64' (v)ICD*18*65 <<= must be installed BEFORE `ICD*18*64' (v)ICD*18*72 <<= must be installed BEFORE `ICD*18*64' Subject: ICD-10 DRG GROUPER Category: - Other - Data Dictionary - Routine - Enhancement (Mandatory) Description: ============ IMPORTANT INFORMATION Please read the Overview Guide posted on the Anonymous directory for installation order. This is critical for proper functionality of the ICD-10 Software. National Patch Module Patch - DRG Grouper 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 ICD-10 Activation 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 ICD*18.0*64 makes the following changes to the Diagnosis Related Group (DRG) application: - Calculation of DRG code for ICD-10 diagnosis codes and ICD-10 procedure codes - Makes ICD-9 DRG Calculation routines compliant with ICD-10 file changes - Makes ICD Code Inquiry Option compliant with new Standards and Terminology Services (STS) Application Program Interface (API) changes - Added Present on Admission (POA) indicator as part of calculating DRG value - Removed hardcoded business rules from DRG Calculation and made the calculating data-driven based on the data downloaded from the Centers for Medicare & Medicaid Services (CMS) website, and loaded the existing and new global files Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------- -------------------- ICD DIAGNOSIS (#80) MDC13 (#1.4) Data modified MDC24 (#1.5) Data modified MDC25 (#1.6) Data modified POA EXEMPT (#1.9) New plus data loaded PDX (#1.11) New plus data loaded DRG GROUPER (#71) Data modified MAJOR DIAGNOSTIC CATEGORY (#72) Data modified ICD-10 IDENTIFIER (#73) New plus data loaded COMPLICATION/COMORBIDITY (#103,1) Data modified COMPLICATION/COMORBIDITY (#103,2) New plus data loaded ICD OPERATION/PROCEDURE (#80.1) MDC24 (#1.5) Data modified DRG GROUPER (#71) Data modified DRG (#80.2) DRG GROUPER EFFECTIVE DATE (sub-file)(#80.271) COMPLICATION/COMORBIDITY FLAG (#2) New Set Value DRG SURGICAL HIERARCHY (#80.5) New File DRG HAC (#80.6) New File DRG DIAGNOSIS IDENTIFIER CODES (#82) New File DRG PROCEDURE IDENTIFIER CODES (#82.1) New File DRG PROCEDURE CODE COMBINATIONS (#82.11) New File DRG DIAGNOSIS CODE COMBINATIONS (#82.12) New File DRG CC EXCLUSIONS (#82.13) New File ICD DIAGNOSIS File (#80) Modified: .01 CODE NUMBER (RF), [0;1] 1.1 CODING SYSTEM (*P80.4'), [1;1] 1.11 PDX EXCLUSION CODE (P82.13'), [1;11] 1.2 IDENTIFIER (F), [1;2] 1.3 UNACCEPTABLE AS PRINCIPAL DX (S), [1;3] 1.4 MDC13 (NJ2,0), [1;4] 1.5 MDC24 (S), [1;5] 1.6 MDC25 (S), [1;6] 1.7 ICD EXPANDED (S), [1;7] 1.8 EXCLUDE FROM LOOKUP (CJ1), [ ; ] 1.9 POA EXEMPT (S), [1;9] 10 SEX (Multiple-80.04), [5;0] .01 SEX EFFECTIVE DATE (D), [0;1] 1 SEX (S), [0;2] 11 AGE LOW (Multiple-80.011), [6;0] .01 AGE LOW EFFECTIVE DATE (D), [0;1] 1 AGE LOW (NJ2,0), [0;2] 12 AGE HIGH (Multiple-80.012), [7;0] .01 AGE HIGH EFFECTIVE DATE (D), [0;1] 1 AGE HIGH (NJ3,0), [0;2] 20 ICD CODES NOT TO USE WITH (Multiple-80.01), [N;0] .01 ICD CODE NOT TO USE WITH (MP80'X), [0;1] 30 ICD CODES REQUIRED WITH (Multiple-80.02), [R;0] .01 ICD CODE REQUIRED WITH (MP80'X), [0;1] 40 ICD CODES NOT CC WITH (Multiple-80.03), [2;0] .01 ICD CODE NOT CC WITH (MP80'), [0;1] 66 STATUS (Multiple-80.066), [66;0] .01 STATUS EFFECTIVE DATE (RD), [0;1] .02 STATUS (RS), [0;2] 67 DIAGNOSIS (Multiple-80.067), [67;0] .01 DIAGNOSIS EFFECTIVE DATE (MRD), [0;1] 1 DIAGNOSIS (RF), [0;2] 68 DESCRIPTION (Multiple-80.068), [68;0] .01 DESCRIPTION EFFECTIVE DATE (MRD), [0;1] 1 DESCRIPTION (RF), [1;1] 2 NON-SDO DESCRIPTIVE KEYWORDS (F), [2;1] 71 DRG GROUPER (Multiple-80.071), [3;0] .01 DRG GROUPER EFFECTIVE DATE (MMD), [0;1] 1 DRG (Multiple-80.711), [1;0] .01 DRG (MP80.2'), [0;1] 72 MAJOR DIAGNOSTIC CATEGORY (Multiple-80.072), [4;0] .01 MDC EFFECTIVE DATE (MD), [0;1] 1 MDC (P80.3'), [0;2] 73 DRG DIAGNOSIS IDENTIFIER CODES (Multiple-80.073), [73;0] .01 DRG DIAGNOSIS IDENTIFIER CODE (MP82'), [0;1] 103 COMPLICATION/COMORBIDITY (Multiple-80.0103), [69;0] .01 CC EFFECTIVE DATE (D), [0;1] 1 COMPLICATION/COMORBIDITY (S), [0;2] 2 PRIMARY (S), [0;3] ICD OPERATION/PROCEDURE File (#80.1) Modified: .01 CODE NUMBER (RF), [0;1] 1.1 CODING SYSTEM (*P80.4'), [1;1] 1.2 IDENTIFIER (F), [1;2] 1.5 MDC24 (S), [1;5] 1.7 ICD EXPANDED (S), [1;7] 1.8 EXCLUDE FROM LOOKUP (CJ1), [ ; ] 10 SEX (Multiple-80.11), [3;0] .01 SEX EFFECTIVE DATE (D), [0;1] 1 SEX (S), [0;2] 20 MAJOR O.R. PROC (F), [M;1] 66 STATUS (Multiple-80.166), [66;0] .01 STATUS EFFECTIVE DATE (RD), [0;1] .02 STATUS (RS), [0;2] 67 OPERATION/PROCEDURE (Multiple-80.167), [67;0] .01 OPER/PROCEDURE EFFECTIVE DATE (MRD), [0;1] 1 OPERATION/PROCEDURE (RF), [0;2] 68 DESCRIPTION (Multiple-80.168), [68;0] .01 DESCRIPTION EFFECTIVE DATE (MRD), [0;1] 1 DESCRIPTION (RF), [1;1] 2 NON-SDO DESCRIPTIVE KEYWORDS (F), [2;1] 71 DRG GROUPER (Multiple-80.171), [2;0] .01 DRG GROUPER EFFECTIVE DATE (MD), [0;1] 1 MAJOR DIAGNOSTIC CATEGORIES (Multiple-80.1711), [1;0] .01 MAJOR DIAGNOSTIC CATEGORY (MP80.3'), [0;1] 1 DRG (Multiple-80.17111), [1;0] .01 DRG (MP80.2'), [0;1] 73 DRG PROCEDURE IDENTIFIER CODES (Multiple-80.173), [73;0] .01 DRG PROCEDURE IDENTIFIER CODE (MP82.1'), [0;1] DRG File (#80.2) .01 NAME (R), [0;1] .06 SURGERY (S), [0;6] 1 DESCRIPTION (Multiple-80.21), [1;0] .01 DESCRIPTION (MF), [0;1] 2 WEIGHT (NJ8,3), [0;2] 3 LOW TRIM(days) (NJ2,0), [0;3] 4 HIGH TRIM(days) (NJ3,0), [0;4] 5 MDC# (RP80.3'), [0;5] 7 WEIGHT(nonAffil) (NJ8,2), [0;7] 7.5 WEIGHT(IntAffil) (NJ8,2), [0;11] 10 AVG LENGTH OF STAY(days) (NJ8,2), [0;8] 11 LOCAL LOW TRIM(Days) (NJ2,0), [0;9] 12 LOCAL HIGH TRIM(Days) (NJ3,0), [0;10] 13 LOCAL BREAKEVEN (NJ5,1), [0;12] 14 ACTIVATION DATE (D), [0;13] 15 INACTIVE (S), [0;14] 16 INACTIVATION DATE (D), [0;15] 20 FISCAL YEAR WEIGHTS&TRIMS (Multiple-80.22), [FY;0] .01 FISCAL YEAR WEIGHTS&TRIMS (MDX), [0;1] 2 WEIGHT (NJ9,3), [0;2] 2.5 WEIGHT(nonAffil) (NJ7,2), [0;8] 2.6 WEIGHT(IntAfill) (NJ8,2), [0;10] 3 LOW TRIM(days) (NJ2,0), [0;3] 4 HIGH TRIM(days) (NJ3,0), [0;4] 4.5 AVG LENGTH OF STAY(days) (NJ9,2), [0;9] 5 *** (NJ5,0), [0;5] 6 LOCAL LOW TRIM(days) (NJ2,0), [0;6] 7 LOCAL HIGH TRIM(days) (NJ3,0), [0;7] 30 BREAKEVEN FISCAL YEAR/QUARTER (Multiple-80.23), [BE;0] .01 BREAKEVEN FISCAL YEAR/QUARTER (NJ3,0XO), [0;1] 1 SERVICE (Multiple-80.24), [S;0] .01 SERVICE (SX), [0;1] 1 BREAK EVEN DAYS (RNJ5,1), [0;2] 2 MEDICAL CENTER BREAKEVEN (RNJ5,1), [0;2] 66 EFFECTIVE DATE (Multiple-80.266), [66;0] .01 EFFECTIVE DATE (RD), [0;1] .03 STATUS (RS), [0;3] .05 MDC# (RP80.3'), [0;5] .06 SURGERY (RS), [0;6] 68 DESCRIPTION (VERSIONED) (Multiple-80.268), [68;0] .01 EFFECTIVE DATE (MD), [0;1] 1 DESCRIPTION (Multiple-80.2681), [1;0] .01 DESCRIPTION (MF), [0;1] 71 DRG GROUPER EFFECTIVE DATE (Multiple-80.271), [2;0] .01 DRG GROUPER EFFECTIVE DATE (D), [0;1] 1 REFERENCE (F), [0;3] 2 COMPLICATION/COMORBIDITY FLAG (S), [0;4] 900 REFERENCE (F), [MC1;1] DRG SURGICAL HIERARCHY File (#80.5) New: .01 EFFECTIVE DATE (RD), [0;1] 1 MDC (Multiple-80.51), [1;0] .01 MDC (MRMP80.3'), [0;1] 1 DRG (Multiple-80.511), [2;0] .01 DRG (MRMP80.2'), [0;1] 1 ORDER (NJ4,0), [0;2] DRG HAC File (#80.6) New: 1 HAC DESCRIPTION (F), [0;2] 2 DIAGNOSIS CODE (Multiple-80.62), [1;0] .01 DIAGNOSIS CODE (MP80'), [0;1] 1 PRIMARY (S), [0;2] 3 PROCEDURE CODES (Multiple-80.63), [2;0] .01 PROCEDURE CODES (MP80.1'), [0;1] DRG DIAGNOSIS IDENTIFIER CODES File (#82) New: .01 IDENTIFIER CODE (RF), [0;1] 1 DESCRIPTION (F), [0;2] DRG PROCEDURE IDENTIFIER CODES File (#82.1) New: .01 IDENTIFIER CODE (RF), [0;1] 1 DESCRIPTION (F), [0;2] DRG PROCEDURE CODE COMBINATIONS File (#82.11) New: .01 IDENTIFIER CODE (RP82.1'), [0;1] 1 BLOCK (Multiple-82.111), [BL;0] .01 BLOCK (MRNJ4,0), [0;1] 1 ONE OF (Multiple-82.1111), [ONE;0] .01 ONE OF (MP80.1'), [0;1] 2 WITH ONE OF 1 (Multiple-82.1112), [WITH1;0] .01 WITH ONE OF 1 (MRP80.1'), [0;1] 3 WITH ONE OF 2 (Multiple-82.1113), [WITH2;0] .01 WITH ONE OF 2 (MRP80.1'), [0;1] 4 WITH ONE OF 3 (Multiple-82.1114), [WITH3;0] .01 WITH ONE OF 3 (MRP80.1'), [0;1] 5 WITH ONE OF 4 (Multiple-82.1115), [WITH4;0] .01 WITH ONE OF 4 (MRP80.1'), [0;1] 6 MDC (Multiple-82.1116), [MDC;0] .01 MDC (MRP80.3'), [0;1] 1 DRG (Multiple-82.11161), [DRG;0] .01 DRG (MRP80.2'), [0;1] DRG DIAGNOSIS CODE COMBINATIONS File (#82.12) New: .01 IDENTIFIER CODE (RP82'), [0;1] 1 BLOCK (Multiple-82.121), [BL;0] .01 BLOCK (MRNJ4,0), [0;1] 1 ONE OF (Multiple-82.1211), [ONE;0] .01 ONE OF (MRP80'), [0;1] 2 WITH ONE OF 1 (Multiple-82.1212), [WITH1;0] .01 WITH ONE OF 1 (MRP80'), [0;1] 3 WITH ONE OF 2 (Multiple-82.1213), [WITH2;0] .01 WITH ONE OF 2 (MRP80'), [0;1] 4 WITH ONE OF 3 (Multiple-82.1214), [WITH3;0] .01 WITH ONE OF 3 (MRP80'), [0;1] 5 WITH ONE OF 4 (Multiple-82.1215), [WITH4;0] .01 WITH ONE OF 4 (MRP80'), [0;1] 6 MDC (Multiple-82.1216), [MDC;0] .01 MDC (MRP80.3'), [0;1] 1 DRG (Multiple-82.12161), [DRG;0] .01 DRG (MRP80.2'), [0;1] DRG CC EXCLUSIONS (#82.13) File New: .01 EXCLUSION CODE (RF), [0;1] 1 PDX (Multiple-82.131), [1;0] .01 PDX (MRP80'), [0;1] 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 (#) New/Modified/Deleted ------------- ---- ------------------ -------------------- 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) & Overviews: ----------------------------- N/A Test Sites: ----------- VAMC, Boise, ID VAMC, Dublin, GA G.V. Sonny Montgomery VAMC, Jackson, MS VAMC, Pittsburgh, PA Coatesville VA Medical Center, Coatesville, PA 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 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 Name FTP Mode -------------------------------------------------------------------------- User Manual drg_18_um.pdf (Binary) Technical Manual/Security Guide drg_18_tm.pdf (Binary) ICD-10 Release Notes (ICD*18*64) ICD-10_RN_ICD_18_64.pdf (Binary) Production Overview Guide Production_Overview_Guide_Group_2.pdf (Binary) FTP Software Retrieval: ======================= The preferred method is to FTP the file 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 specific server as follows: Albany ftp.domain.ext Hines ftp.domain.ext Salt Lake City ftp.domain.ext Host File File Name FTP Protocol ------------------- ---------------- ------------ Data Host File ICD_18_64.GBL ASCII Patch Installation ================== This patch requires the import global ^ICDLOAD to be installed prior to installation of the patch. The ^ICDLOAD global is delivered in the data file ICD_18_64.GBL. The ICD*18*64 development team obtained the exemption to use $ZU(68,28) in routine ICD1864B from SACC committee on 2/25/2014, in order that the ICDLOAD global can be removed programmatically. The user will not therefore have to delete the global manually. User will be asked questions prior to installing the patch. The installation process of the patch runs the routine ICD1864A, which loads the DRG data. In the end of the process the ^ICDLOAD global is killed programmatically. PLEASE NOTE: During the installation there are various ICD Codes required to be in the DRG load file that were removed from the Lexicon globals. These codes will cause the following messages to appear: Starting File #80 JUL 31, 2014@12:15:39 ICD Code: H40.141 not in file #80 .... These are not error messages, but rather audit messages showing that expired codes are not in the Lexicon and can be ignored. Pre-Installation Instructions ----------------------------- 1a) This patch requires installation of the following data file: ICD_18_64.GBL which contains the ^ICDLOAD global. 1b) The following globals must be backed up during initial installation of this patch and as well as every time it has to be re-installed after the following patches: ICD*18.0*57 and LEX*2.0*80. ICD DIAGNOSIS File (#80) ^ICD9 ICD OPERATION/PROCEDURE File (#80.1) ^ICD0 DRG File (#80.2) ^ICD NOTE: Please refer to Sections 2-6 for instructions on retrieving the file, backing up the existing files and installing the new file. 1c) It is recommended that this patch be installed during non-peak hours to minimize potential disruption to users as extensive changes are made to existing files ICD DIAGNOSIS File (#80), ICD OPERATION/PROCEDURE File (#80.1) and DRG File (#80.2). 1d) All steps leading up to the KIDS Installation may be done with the users on the system. Administrative Users Only must be off of the system during the KIDS installation. Applications, particularly Admission Discharge Transfer (ADT), Integrated Billing (IB) and Diagnosis Related Grouper (DRG), could encounter significant errors if exercised during the install. 1e) Installation of ICD*18*64 should NOT be performed at the time frame when IB MT NIGHT COMP is running. Since installation of ICD*18*64 can take from 1 to 5 hours it is recommended to run it before the IB MT NIGHT COMP job: - Make all preparations ahead - perform steps 3, 5 and 6 of the Pre-Installation Instructions. This might take 2 hours and can be done during normal working hours, - Determine the time when IB nightly job is scheduled to run in the system, - Count 5 hours back from this time to determine the time when ICD*18*64 installation can be started. 1f) Do not Interrupt the Installation - If the pre-install runs and deletes the ICD files and the post-install does not run, the site may be left with either missing or incomplete ICD files. 1g) Do not Queue this Installation -This installation is interactive. If it is queued, it will hang and not install. 1h) Do not install if Windows Updates are Scheduled/Pending - Check with local network support that no Windows updates are scheduled for the period of the ICD-10 install. Also, check the toolbar and see if there is a Windows Update icon for a pending Windows update from a previous push. A Windows update will disrupt the session and the KIDS installation. 1i) The average install time for this patch is approximately 1-5 hours based on each site's mirror and production environment configuration, number of users on the system and background processes running at the time of the installation. 2) Global backup and installation timing: Backup -------------- ICD DIAGNOSIS ^ICD9 214 MB 10 to 25 minutes ICD PROCEDURE ^ICD0 129 MB 6 to 15 minutes DRG ^ICD 2.8 MB 1 to 5 minutes Total Backup 345.8 MB 17 to 45 minutes Data Host File -------------- FTP ICD_18_64.GBL 69 GB 4 to 10 minutes Global Restore ^%GI ^ICDLOAD 20 MB 4 to 10 minutes Total Data 89 MB 8 to 20 minutes 3) Create a backup of the following global files before continuing: ICD DIAGNOSIS File (#80) ^ICD9 ICD OPERATION/PROCEDURE File (#80.1) ^ICD0 DRG File (#80.2) ^ICD Make sure space is available before proceeding. It should take from 17 to 45 minutes to create the backup files. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). If you are working in an environment where %GO will not run (usually due to sharing of globals between environments) please use %GOGEN. Example with %GO: >D ^%GO Global output Device: xxxxxx:[yyyyyy]ICD9.GBL where xxxxxx and yyyyyy specify your home folder for example: USER2$:[USERNAME] Parameters? "WNS" => (Skip) Description (^ for self-loading): All Globals? No => No Global ^ICD9 Global ^ (Skip) 1 global selected from 638 available globals. ICD9 1 global written Example with %GOGEN: >D ^%GOGEN Device: xxxxxx:[yyyyyy]ICD9.GEN where xxxxxx and yyyyyy specify your home folder for example: USER2$:[USERNAME] Parameters? "WNS" => (Skip) Warning: Use a "V" format to avoid problems with control characters. Global ^ICD9 -- NOTE: translation in effect Global ^ (Skip) Enter To create a Backup copy of: ------ --------------------------- ICD9 ICD DIAGNOSIS File ICD0 ICD OPERATION/PROCEDURE File ICD DRG File 4) Set up user and IO variables (D ^XUP) for programmer access. 5) Transfer the ICD_18_64.GBL file from the FTP server to your folder in the environment in which you are installing. 6) Install the data from the global host file ICD_18_64.GBL. This file contains the import global ^ICDLOAD. This global is approximately 20 megabytes in size. Make sure there is sufficient space available to load this global. The loading of the global should take from 8 to 20 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: USER$:[USERNAME]ICD_18_64.GBL Parameters? "RS" => Globals were saved on 21 Feb 2014 3:55 PM Cache with description: Data file for ICD*18.0*64 installation Input option: a ^ICDLOAD 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 # (ICD*18.0*64): 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 ICD*18.0*64. Respond "Yes" at the "Have you made a copy of file #80 (^ICD9), file #80.1 (^ICD0) and file #80.2 (^ICD)?" Respond "Yes" at the "Do you want to continue?" 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 and enter the following menu options to disable: Enter options you wish to mark as 'Out Of Order': ICD DRG GROUPER Enter options you wish to mark as 'Out Of Order': DG DRG CALCULATION Enter options you wish to mark as 'Out Of Order': LOAD/EDIT PTF DATA Enter options you wish to mark as 'Out Of Order': IBT EDIT TRACKING ENTRY Enter options you wish to mark as 'Out Of Order': IB EDIT BILLING INFO Enter options you wish to mark as 'Out Of Order': DG PTF DRG INFORMATION OUTPUT 7. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. The KIDS install should take from 1 to 5 hours. Post-Installation Instructions ------------------------------ The Post-Install routines ICD1864,ICD1864A,B,C,L and P should be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;18.0;DRG Grouper;**[Patch List]**;Oct 20, 2000;Build 103 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ICD10TB0 Before: n/a After: B7031640 **64** Routine Name: ICD10TB1 Before: n/a After: B9911744 **64** Routine Name: ICD10TB2 Before: n/a After: B18222140 **64** Routine Name: ICD10TB3 Before: n/a After: B6789079 **64** Routine Name: ICD10TB4 Before: n/a After: B9167308 **64** Routine Name: ICD10TB5 Before: n/a After: B7411864 **64** Routine Name: ICD10TB6 Before: n/a After: B7217970 **64** Routine Name: ICD10TB7 Before: n/a After: B3864507 **64** Routine Name: ICD10TB8 Before: n/a After: B7326303 **64** Routine Name: ICD10TB9 Before: n/a After: B3049940 **64** Routine Name: ICD1864A Before: n/a After:B168364316 **64** Routine Name: ICD1864B Before: n/a After: B65361906 **64** Routine Name: ICDCOD Before: B5702581 After: B7196903 **7,57,64** Routine Name: ICDCODLK Before: n/a After: B33886229 **64** Routine Name: ICDDG010 Before: n/a After: B87527545 **64** Routine Name: ICDDRG Before: B34375895 After: B61462104 **2,7,10,14,20,31,37,57,64** Routine Name: ICDDRG5 Before: B33887705 After: B35156082 **2,5,7,10,20,22,31,37,64** Routine Name: ICDDRGM Before: B31028651 After:B190593495 **7,36,57,64** Routine Name: ICDDRGX Before: B26050820 After: B28133843 **1,2,5,7,10,14,20,24,27,31,64** Routine Name: ICDDRGX1 Before: n/a After: B12298991 **64** Routine Name: ICDDRGX2 Before: n/a After:B156836573 **64** Routine Name: ICDDRGX3 Before: n/a After: B25217688 **64** Routine Name: ICDDRGXM Before: B10793046 After: B11815979 **31,50,62,64** Routine Name: ICDDSLK Before: n/a After:B118601308 **64** Routine Name: ICDGTDRG Before: B3954114 After: B3882310 **7,12,14,17,57,64** Routine Name: ICDREF Before: B499599 After: B572987 **14,17,57,64** Routine Name: ICDRGAPI Before: n/a After: B53995245 **64** Routine Name: ICDSELDS Before: n/a After: B42651368 **64** Routine Name: ICDSELPS Before: n/a After: B30531047 **64** Routine Name: ICDTBL2C Before: B51314411 After: B51015005 **50,49,54,55,61,62,64** Routine Name: ICDTBL2D Before: B50198003 After: B49902612 **56,55,61,62,64** Routine Name: ICDTBL2E Before: B50198273 After: B49902881 **65,64** Routine Name: ICDTBL8A Before: B24430641 After: B25027347 **37,34,43,45,46,49,64** Routine Name: ICDTBL8B Before: B25187689 After: B25669193 **45,46,49,54,64** Routine Name: ICDTBL8C Before: B24982928 After: B25174597 **50,49,54,61,64** Routine Name: ICDTBL8D Before: B25476852 After: B25677376 **56,61,62,64** Routine Name: ICDTBL8E Before: B25476861 After: B25715742 **65,64** Routine Name: ICDTBL9B Before: B4777979 After: B4890646 **45,54,64** Routine Name: ICDTBL9C Before: B4782468 After: B4895199 **50,54,64** Routine Name: ICDTBL9D Before: B5060180 After: B5269928 **56,69,64** Routine Name: ICDTBL9E Before: B5060300 After: B5179109 **65,69,64** Routine Name: ICDTLB4A Before: B17888489 After: B18195336 **14,64** Routine Name: ICDTLB4B Before: B17888498 After: B18194277 **20,64** Routine Name: ICDTLB6 Before: B35811469 After: B36196041 **2,5,10,64** Routine Name: ICDTLB61 Before: B1234931 After: B1300182 **10,22,64** Routine Name: ICDTLB6A Before: B36834501 After: B37224357 **14,17,64** Routine Name: ICDTLB6B Before: B51496024 After: B51960750 **20,22,64** Routine Name: ICDTLB6C Before: B58422258 After: B58914547 **24,30,64** Routine list of preceding patches: 30, 57, 62, 69 ============================================================================= User Information: Entered By : Date Entered : MAY 09, 2012 Completed By: Date Completed: AUG 01, 2014 Released By : Date Released : AUG 05, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT