$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Monday, 03/25/13 at 17:43 ============================================================================= Run Date: AUG 15, 2014 Designation: MC*2.3*43 Package : MC - MEDICINE Priority: Mandatory Version : 2.3 SEQ #42 Status: Released Compliance Date: AUG 29, 2014 ============================================================================= Associated patches: (v)LEX*2*80 <<= must be installed BEFORE `MC*2.3*43' (v)ICD*18*57 <<= must be installed BEFORE `MC*2.3*43' (v)MC*2.3*44 <<= must be installed BEFORE `MC*2.3*43' Subject: VISTA MEDICINE ICD-10 CLASS 1 REMEDIATION Category: - Enhancement (Mandatory) - Data Dictionary - Print Template - 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. The following functionality within the VistA Medicine (MC) application was updated to address the ICD-10 code set. Only the Rheumatology Menu [MCRHUSER] option is addressed. 1. The Diagnosis Edit [MCRHDIAGF] option was modified such that when a user selects a medical diagnosis, the ICD code that is populated in the RHEUMATOLOGY File (#701) is relevant to the ICD code set for 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. 2. The Diagnosis Print [MCRHDIAGP] and Print All Report [MCRHALLP] options under the Print Menu [MCRHMENUPRT] were modified such that the column header displays "ICD" instead of "ICD9". 3. Several field descriptions were updated to replace the word "ICD9" with ICD". NOTE: Many of the fields were flagged for future use. 4. The parent package of Medicine, Clinical Procedures (CP), was added as a subscriber to several of the APIs as noted in ICR #5747. 5. The following menu option and its sub-menu options on the Rheumatology Menu were placed out of order. These options are no longer used within the Medicine package. Line Enter/Edit Menu ... [MCRHMENULIN] Diagnosis Line Edit [MCRHDIAGL] History Narrative Line Edit [MCRHNARRL] Health Assessment (HAQ) Line Edit [MCRHHAQL] Health/Physical History Line Edit [MCRHPATHISTL] Physical Examination Line Edit [MCRHPHYSL] Death Admin Line Edit [MCRHDEATHL] Brief Diagnosis Line Edit [MCRHBRIEF] Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------------------------- -------------------- ECHO (#691) ICD DIAGNOSIS (sub-file)(#691.19) Modified ICD DIAGNOSIS (#.01) Modified CARDIAC CATHETERIZATION (#691.1) ICD DIAGNOSIS (sub-file)(#691.46) Modified ICD DIAGNOSIS (#.01) Modified ELECTROCARDIOGRAM (EKG) (#691.5) ICD DIAGNOSIS (sub-file)(#691.58) Modified ICD DIAGNOSIS (#.01) Modified HOLTER (#691.6) ICD DIAGNOSIS (sub-file)(#691.69) Modified ICD DIAGNOSIS (#.01) Modified EXERCISE TOLERANCE TEST (#691.7) ICD DIAGNOSIS (sub-file)(#691.704) Modified ICD DIAGNOSIS (#.01) Modified ELECTROPHYSIOLOGY (EP) (#691.8) ICD DIAGNOSIS (sub-file)(#691.806) Modified ICD DIAGNOSIS (#.01) Modified ATRIAL STUDY (#691.9) ICD DIAGNOSIS (sub-file)(#691.9001) Modified ICD DIAGNOSIS (#.01) Modified VENTRICULAR STUDY (#692) ICD DIAGNOSIS (sub-file)(#692.03) Modified ICD DIAGNOSIS (#.01) Modified HEMATOLOGY (#694) ICD DIAGNOSIS (sub-file)(#694.02) Modified ICD DIAGNOSIS (#.01) Modified GENERATOR IMPLANT (#698) ICD DIAGNOSIS (sub-file)(#698.02) Modified ICD DIAGNOSIS (#.01) Modified V LEAD IMPLANT (#698.1) ICD DIAGNOSIS (sub-file)(#698.12) Modified ICD DIAGNOSIS (#.01) Modified A LEAD IMPLANT (#698.2) ICD DIAGNOSIS (sub-file)(#698.22) Modified ICD DIAGNOSIS (#.01) Modified PACEMAKER SURVEILLANCE (#698.3) ICD DIAGNOSIS (sub-file)(#698.32) Modified ICD DIAGNOSIS (#.01) Modified ENDOSCOPY/CONSULT(#699) ICD DIAGNOSIS (sub-file)(#699.03) Modified ICD DIAGNOSIS (#.01) Modified GENERALIZED PROCEDURE/CONSULT (#699.5) ICD DIAGNOSIS (sub-file)(#699.54) Modified ICD DIAGNOSIS (#.01) Modified PULMONARY FUNCTION TESTS (#700) ICD DIAGNOSIS (sub-file)(#700.05) Modified ICD DIAGNOSIS (#.01) Modified RHEUMATOLOGY (#701) ICD DIAGNOSIS (sub-file)(#701.01) Modified ICD DIAGNOSIS (#.01) Modified 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 ----------- ---- -------------------- MCRHMENULIN Menu Modified MCRHDIAGL Run routine Modified MCRHNARRL Run routine Modified MCRHHAQL Run routine Modified MCRHPATHISTL Run routine Modified MCRHPHYSL Run routine Modified MCRHDEATHL Run routine Modified MCRHBRIEF 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 ------------- ---- ------------------ -------------------- MCRHPROG Print RHEUMATOLOGY (#701) Modified 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) Medicine User Manual MC_2_3UM.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. MCRHUSER Rheumatology 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*43): 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*43. 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? NO//', respond YES. MCRHUSER Rheumatology Menu Enter options you wish to mark as 'Out Of Order': Enter protocols you wish to mark as 'Out Of Order': 7. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ 1. Cleanup - The Pre-Install routine MC43PST 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: ;;2.3;Medicine;**[Patch List]**;09/13/1996;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: MC43PST Before: n/a After: B1694913 **43** Routine Name: MCRH2 Before: B5718448 After: B7228385 **43** ============================================================================= User Information: Entered By : Date Entered : FEB 13, 2012 Completed By: Date Completed: AUG 08, 2014 Released By : Date Released : AUG 15, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT