$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Friday, 10/11/13 at 10:15 ============================================================================= Run Date: AUG 15, 2014 Designation: LR*5.2*421 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #352 Status: Released Compliance Date: AUG 29, 2014 ============================================================================= Associated patches: (v)LR*5.2*315 <<= must be installed BEFORE `LR*5.2*421' (v)LEX*2*80 <<= must be installed BEFORE `LR*5.2*421' (v)ICD*18*57 <<= must be installed BEFORE `LR*5.2*421' (v)LR*5.2*422 <<= must be installed BEFORE `LR*5.2*421' (v)LR*5.2*429 <<= must be installed BEFORE `LR*5.2*421' Subject: EMERGING PATHOGENS INITIATIVE (EPI) ICD-10 CLASS I REMEDIATION PROJECT Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Other Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Production_Overview_Guide_Groups_3_4.pdf) posted on the Anonymous directory for installation order. This is critical for proper functionality of the ICD-10 Software. 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 Laboratory Emerging Pathogens Initiative (EPI) application allows the Department of Veterans Affairs (VA) to track certain emerging pathogens on the national level without the necessity for additional local data entry. It is designed to automatically provide data on emerging pathogens to Veterans Affairs Headquarters (VAHQ) without additional individual data entry at the site level. Functionality in this application includes using look up capabilities to add, delete, edit, or view ICD codes for pathogen set-up parameters. Once parameters have been decided, an extract automatically searches for specific ICD codes related to certain emerging pathogens (e.g., Hepatitis, Legionella). The data is sent to the Austin Information Technology Center (AITC) for initial processing and coupling with denominator data related to workload. Veterans Affairs Headquarters (VAHQ) data retrieval and analysis can then be accomplished. Plans can be formulated on the national level for intervention strategies and resource needs. Results of aggregate data can also be shared with appropriate public health authorities for planning on the national level for the non-VA and private health care sectors. Patch LR*5.2*421 makes the following changes to the Emerging Pathogens Initiative (EPI) application: - The following fields and screens have been updated to refer to "ICD" rather than "ICD9": - Laboratory Search/Extract Parameters Input screens - Enter/Edit Local Pathogens screens - Detailed Verification Report - Help Text - Within the Enter/Edit Local Pathogens and Laboratory Search/Extract Parameters Input screens, users are prompted to specify a code set on which to search prior to entering an ICD code. Based on this input, the system will only allow ICD-9 entry or ICD-10 entry. - The Pathogen Inquiry option has been modified to list both ICD-9 and ICD-10 codes. - The Generate Local Report/Spreadsheet option has been modified to include both the Diagnosis Code Set Designation and the Diagnosis Code. - Health Level 7 (HL7) Reports that are sent to Austin Information Technology Center (AITC) have been modified to include ICD-10 Codes and Descriptions, which are included in the DG1 Segments in this Health Level 7 (HL7) format. Patch Components ================ Files & Fields Associated: File Name (#) Field Name New/Modified/Deleted ------------- ------------------- -------------------- LAB SEARCH/EXTRACT ICD DIAGNOSIS SUB-FIELD (#69.5) (#69.54) Field (#4) ICD DIAGNOSIS (#.01) Modifed CODING SYSTEM(#1) New Forms Associated: Form Name File # New/Modified/Deleted --------- ------ -------------------- LREPI9 #69.5 Modified Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ----------- -------------------- LREPI PARAMETER SETUP Run Routine Modified 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: ----------- Orlando VA Medical Center, Orlando, FL Coatesville VA Medical Center, Coatesville, PA Battle Creek VA Medical Center, Battle Creek, MI Captain James A. Lovell Federal Health Care Center, N. Chicago, IL Blood Bank Clearance Statement ------------------------------ EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*421 does not contain any changes to the VISTA BLOOD BANK Software as defined by ProPath standard titled: BBM Team Review of VistA Patches. EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*421 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*421 have no effect on Blood Bank software functionality, therefore RISK is none. VALIDATION REQUIREMENTS BY OPTION: Because of the nature of the changes made, no specific validation requirements exist as a result of installation of this patch. 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://www4.domain.ext/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- ICD-10 Release Notes ICD-10_RN_LR_5_2_421.pdf Binary (LR*5.2*421) Hep C Extract & EPI Technical lab_epi_hepC_tech_user_guide.pdf Binary and User Guide Production Overview Guide ICD-10_Production_Overview_ Binary Groups 3 - 4 Guide_Groups_3-4.pdf Roll Up Modifications lab_epi_rollup_mod_tech_user_ Binary Technical and User Manual manual.pdf Search/Extract Technical and lap_epi_searchextract_tm_ug.pdf Binary User Guide EPI Technical and User Guide lab_epi_tech_user_guide.pdf Binary Patch Installation: Pre/Post Installation Overview ------------------------------ This patch will execute routine ^LR421P during "post-installation" processing. Pre-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. 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 # (LR*5.2*421): 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 LR*5.2*421. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//', respond NO. 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 ------------------------------ The post installation routine ^LR421P will make applicable ICD-10 modifications to the LAB SEARCH/EXTRACT file (#69.5). Messages will display in the "installation window" during the execution of ^LR421P, showing the file modification being done. ^LR421P routine 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: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 48 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LR421P Before: n/a After: B10419361 **421** Routine Name: LREPI Before: B57448349 After: B66094816 **132,175,260,281,421** Routine Name: LREPI2 Before: B33309495 After: B33293208 **132,157,175,242,260,281,320,421** Routine Name: LREPI2A Before: B25858178 After: B25843319 **281,421** Routine Name: LREPI3 Before: B38193002 After: B50368609 **132,175,260,281,320,315,421** Routine Name: LREPI5 Before: B5654909 After: B7519412 **281,315,421** Routine Name: LREPICD Before: n/a After: B3035110 **421** Routine Name: LREPIPI Before: B12589955 After: B21641423 **281,421** Routine Name: LREPIRP3 Before: B78489594 After: B78340966 **281,421** Routine Name: LREPIRP5 Before: B38435100 After: B38416569 **281,320,421** Routine Name: LREPIRP7 Before: B69729328 After: B69807608 **281,320,421** Routine Name: LREPIRS1 Before: B38487610 After: B39937424 **281,421** Routine Name: LREPIRS3 Before: B53422919 After: B54324401 **281,421** Routine Name: LREPISRV Before: B27007288 After: B28774078 **260,281,421** Routine Name: LREPIXDG Before: n/a After: B1966011 **421** Routine list of preceding patches: 315 ============================================================================= User Information: Entered By : Date Entered : APR 09, 2012 Completed By: Date Completed: AUG 08, 2014 Released By : Date Released : AUG 15, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT