$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Monday, 03/24/14 at 17:47 ============================================================================= Run Date: AUG 15, 2014 Designation: MC*2.3*44 Package : MC - MEDICINE Priority: Mandatory Version : 2.3 SEQ #41 Status: Released Compliance Date: AUG 29, 2014 ============================================================================= Associated patches: (v)MC*2.3*42 <<= must be installed BEFORE `MC*2.3*44' (v)LEX*2*80 <<= must be installed BEFORE `MC*2.3*44' (v)ICD*18*57 <<= must be installed BEFORE `MC*2.3*44' Subject: ICD-10 UPDATE FOR MEDICAL DIAGNOSIS/ICD CODE FILE #697.5 Category: - Enhancement (Mandatory) - Routine - 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. This patch updates the MEDICAL DIAGNOSIS/ICD CODES File (#697.5) with ICD-10 codes. A Medical Diagnosis may be associated with both ICD-9 and ICD-10 codes. For example, in Rheumatology, when a user selects a medical diagnosis, the ICD code that is populated in the file is the ICD code set that is active at the time of the procedure date. - If the procedure date is prior to the implementation date of the ICD-10 code set, then the ICD-9 code mapped to the medical diagnosis will be populated. - If the procedure date is on or after the implementation date of the ICD-10 code set, then the ICD-10 code mapped to the medical diagnosis will be populated. 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: ----------- Battle Creek VAMC, Battle Creek, MI Detroit VAMC, Detroit, MI Houston VAMC, Houston, TX North Chicago VAMC, Chicago, IL 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 -------------------------------------------------------------------------- Medicine Technical Manual MC_2_3TM.pdf (binary) Medicine Release Notes ICD-10_RN_MC_2_3_43_44.pdf (binary) Production Overview Guide ICD-10_Production_Overview_Guide_Groups_3_4.pdf (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ 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. The following menu options should be disabled. MCMEDICINE SITE MGR MENU Medicine Menu 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 # (MC*2.3*44): 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 MC*2.3*44. 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 YES. MCMEDICINE SITE MGR MENU Medicine Menu 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ After the patch is installed and the MailMan message is generated, delete the following routines using the Delete Routines [XTRDEL] option. MC44PS10 MC44PS11 MC44PS12 MC44PS13 MC44PS14 MC44PS15 MC44PS16 MC44PS17 MC44PS18 MC44PS19 MC44PS20 MC44PS21 MC44PS22 MC44PST0 MC44PST1 MC44PST2 MC44PST3 MC44PST4 MC44PST5 MC44PST6 MC44PST7 MC44PST8 MC44PST9 Routine Information: ==================== The second line of each of these routines now looks like: ;;2.3;Medicine;**[Patch List]**;09/13/1996;Build 9 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MC44PS10 Before: n/a After: B32216509 **44** Routine Name: MC44PS11 Before: n/a After:B119768142 **44** Routine Name: MC44PS12 Before: n/a After: B78330054 **44** Routine Name: MC44PS13 Before: n/a After: B70120589 **44** Routine Name: MC44PS14 Before: n/a After: B45592662 **44** Routine Name: MC44PS15 Before: n/a After: B33126373 **44** Routine Name: MC44PS16 Before: n/a After: B64098085 **44** Routine Name: MC44PS17 Before: n/a After:B100716699 **44** Routine Name: MC44PS18 Before: n/a After: B96609729 **44** Routine Name: MC44PS19 Before: n/a After: B34160961 **44** Routine Name: MC44PS20 Before: n/a After: B43596900 **44** Routine Name: MC44PS21 Before: n/a After: B96487161 **44** Routine Name: MC44PS22 Before: n/a After: B38749849 **44** Routine Name: MC44PST0 Before: n/a After: B88346236 **44** Routine Name: MC44PST1 Before: n/a After: B89802234 **44** Routine Name: MC44PST2 Before: n/a After: B56548153 **44** Routine Name: MC44PST3 Before: n/a After: B62371296 **44** Routine Name: MC44PST4 Before: n/a After: B35157262 **44** Routine Name: MC44PST5 Before: n/a After: B62942710 **44** Routine Name: MC44PST6 Before: n/a After: B31566461 **44** Routine Name: MC44PST7 Before: n/a After: B69839955 **44** Routine Name: MC44PST8 Before: n/a After: B69718864 **44** Routine Name: MC44PST9 Before: n/a After: B66025880 **44** ============================================================================= User Information: Entered By : Date Entered : MAR 26, 2012 Completed By: Date Completed: AUG 08, 2014 Released By : Date Released : AUG 15, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT