============================================================================= Run Date: SEP 02, 2015 Designation: LR*5.2*442 Package : LR - LAB SERVICE Priority: Mandatory Version : 5.2 SEQ #362 Status: Released Compliance Date: SEP 16, 2015 ============================================================================= Associated patches: (v)LR*5.2*421 <<= must be installed BEFORE `LR*5.2*442' (v)LR*5.2*422 <<= must be installed BEFORE `LR*5.2*442' (v)DG*5.3*884 <<= must be installed BEFORE `LR*5.2*442' Subject: ICD-10 PTF CHANGES-EMERGING PATHOGENS & ANATOMIC PATHOLOGY Category: - Enhancement (Mandatory) - Routine - 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. * * * ************************************************************************** Overview: This patch introduces additional International Classification of Diseases, Tenth Revision (ICD-10) implementation-related modifications into the Veterans Health Information Systems and Technology Architecture (VistA) Laboratory V5.2 package. The enhancements being made support the existing business processes in the Emerging Pathogens Initiative (EPI) and Anatomic Pathology modules. Scope: The scope of this effort supports implementation of ICD-10 within the Veterans Health Administration (VHA). The conversion from ICD-9 to ICD-10 requires that all VistA connected applications, back-end processes, databases and the Patient Treatment File (PTF) support twenty-five (25) ICD diagnosis and procedure codes. 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. Functional Overview: With the release of Registration patch DG*5.3*884, the Patient Treatment File (PTF #45) now supports up to 25 ICD diagnosis Codes. This patch enhances the Laboratory package to utilize a new Application Programmer Interface (API) to obtain PTF related diagnosis codes for reporting. * Patch LR*5.2*442 makes the following changes to the Emerging Pathogens Initiative (EPI) module: - Data related to specific emerging pathogens is collected and sent to the Austin Information Technology Center (AITC). The messages will now have to accommodate up to 25 ICD-10 diagnosis codes associated with a single EPI data record. * Patch LR*5.2*442 makes the following changes to the Anatomic Pathology (AP) module: - For the tissue review case report modifications will be made to the retrieving and displaying the up to twenty-five (25) ICD diagnosis, Present on Admission (POA) indicators, and Procedure and Surgical Codes that can now be stored in the PTF (#45). Patch Components ================ Files & Fields Associated: File Name (#) Field Name New/Modified/Deleted ------------- ------------------- -------------------- N/A 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: ----------- The following sites participated in testing this software. * Detroit, MI * Madison, WI * Richmond, VA * West Haven, CT Blood Bank Clearance Statement: ------------------------------- EFFECT ON BLOOD BANK FUNCTIONAL REQUIREMENTS: Patch LR*5.2*442 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*442 does not alter or modify any software design safeguards or safety critical elements functions. RISK ANALYSIS: Changes made by patch LR*5.2*442 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. 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 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: ICD-10 PTF Installation Guide (all patches) File Name: ICD_10_PTF_MODIFICATIONS_IG.PDF Title: Laboratory: Anatomic Pathology and Laboratory: Emerging Pathogens Initiative LR*5.2*442 Release Notes File Name: LR_5_2_442_RN.pdf Title: Laboratory EPI Roll Up Modifications Technical and User Manual File Name: lab_epi_rollup_mod_tech_user_manual.pdf Title: Laboratory EPI Technical and User Guide File Name: lab_epi_tech_user_guide.pdf Title: Laboratory Hepatitis C and EPI Technical and User Guide File Name: lab_epi_hepc_tech_user_guide.pdf Title: Laboratory Search/Extract Technical and User Guide File Name: lab_epi_searchextract_tm_ug.pdf Title: Laboratory Anatomic Pathology (AP) Version 5.2 User Guide File Name: Lab_AP_LR_5_2_UG.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: ;;5.2;LAB SERVICE;**[Patch List]**;Sep 27, 1994;Build 4 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LRAPQAT1 Before: B5116733 After: B5639030 **201,315,422,442** Routine Name: LREPI3 Before: B50368609 After: B50657708 **132,175,260,281,320,315,421,442** Routine Name: LREPI5 Before: B7519412 After: B9871956 **281,315,421,442** Routine list of preceding patches: 421, 422 ============================================================================= User Information: Entered By : Date Entered : APR 30, 2014 Completed By: Date Completed: AUG 28, 2015 Released By : Date Released : SEP 02, 2015 ============================================================================= Packman Mail Message: ===================== No routines included