============================================================================= Run Date: AUG 05, 2014 Designation: OR*3*361 Package : OR - ORDER ENTRY/RESULTS REPORTING Priority: Mandatory Version : 3 SEQ #340 Status: Released Compliance Date: AUG 26, 2014 ============================================================================= Associated patches: (v)OR*3*181 <<= must be installed BEFORE `OR*3*361' (v)OR*3*306 <<= must be installed BEFORE `OR*3*361' (v)OR*3*346 <<= must be installed BEFORE `OR*3*361' (v)LEX*2*80 <<= must be installed BEFORE `OR*3*361' (v)OR*3*351 <<= must be installed BEFORE `OR*3*361' (v)IBD*3*63 <<= must be installed BEFORE `OR*3*361' (v)ICD*18*57 <<= must be installed BEFORE `OR*3*361' (v)GMPL*2*42 <<= must be installed BEFORE `OR*3*361' (v)OR*3*354 <<= must be installed BEFORE `OR*3*361' (v)OR*3*371 <<= must be installed BEFORE `OR*3*361' (v)OR*3*372 <<= must be installed BEFORE `OR*3*361' Subject: ICD-10 M ONLY OR CHANGES Category: - Routine Description: ============ This patch is part of the Computerized Patient Records System CPRSv30 project. This project will modify the Computerized Patient Record System, Text Integration Utilities, Consults, Health Summary, Problem List, Clinical Reminders, and Order Entry/Results Reporting domains to meet the requirements proposed by the Dept. of Health and Human Services to adopt ICD-10 code set standards for Clinic Orders. On January 16, 2009, the Centers for Medicare & Medicaid Services (CMS) released a final rule for replacing the 30-year-old ICD-9-CM code set with International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) with dates of service, or date of discharge for inpatients, that occur on or after the industry activation date. The classification system consists of more than 68,000 codes compared to approximately 13,000 ICD-9-CM codes. There are nearly compared to approximately 13,000 ICD-9-CM codes. There are nearly 87,000 ICD-10-PCS codes, while ICD-9-CM has nearly 3,800 procedure codes. Both systems also expand the number of characters allotted from five and four respectively 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. NOTE: Functionality specific to activation of the ICD-10 code set shall not be seen by end users until the code set has been activated. Remedy Tickets Resolved ======================= 1. INC000001019974 - Shelley Weems reports Anti-Coagulation Management Tool is changing an ICD code from one thing to another resulting in a risk to patient safety. 2. INC000000610881 - Routine ORAM1 contained an unsupported reference to the ICD DIAGNOSIS file (#80) global. This has been resolved. Associated NSRs: ================ N/A Components Sent With Patch ========================== Routine Summary: ---------------- The following is a list of the routine(s) included in this patch. Total number of routines modified: 28 Total number of new routines: 1 Total number of routines: 28 The following is a list of files included in this patch: -------------------------------------------------------- N/A Test Sites: =========== Boise Denver Jackson Pittsburg Miami Montana Software & Documentation Retrieval Instructions: ================================================ The software for this set of patches is not being distributed through the National Patch Module. There is a single package KIDS build being distributed. The associated host file is named OR_3_361.KID 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 A single documentation update is being provided with this release. This file is only available via one of the FTP download directories. File Description File Name FTP Mode ---------------------------------------------------------------------- OR*3.0*361 OR_3_361.KID ASCII ICD-10 Production Overview Guide Group 2 ICD-10 Production_Overview_Guide_Group_2.docx Binary Installation Instructions: ========================== Pre-installation Instructions ----------------------------- Please retrieve and review the ICD-10 Production Overview Guide Group 2 document referenced above. This document is intended to provide the field sites with guidance regarding the association of the ICD-10 grouped patches. The document outlines an approach for each site to install several individual patches that are logically related based on technical and business dependencies. These patches have been grouped together by the ICD-10 Program. Please refer to the detailed installation instructions within each application specific patch description or install guide after reading this document. It is not necessary to disable any options. You may install these routines at any time without interruption to users. It should take less than 10 minutes to install this patch. 1. Use the 'Load a Distribution' option on the KIDS installation menu. When prompted to enter a host file type in OR_3_361.KID 2. On the KIDS menu under the 'INSTALLATION' menu, use the following options, as desired (when prompted for INSTALL NAME, enter OR*3.0*361): a. Verify Checksums in Transport Global - This option will allow you to ensure the integrity of the routines that are in the transport global. b. Print Transport Global - This option will allow you to view the components of the KIDS build. c. 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.). d. 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. 5. Use the Install Package(s) option and select the package OR*3.0*361 6. When Prompted "Want KIDS to INHIBIT LOGONs during the install? YES//" respond NO. 7. When Prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//" respond NO. Post-Installation Instructions ------------------------------ There are no post-install instructions for this patch. The post-install routine, ORY361, is not automatically deleted after installation. If desired, this routine may be manually deleted from the system once the installation has successfully completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;ORDER ENTRY/RESULTS REPORTING;**[Patch List]**;Dec 17, 1997;Build 40 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: ORAM1 Before:B162237541 After:B166176086 **307,339,351,361** Routine Name: ORAM2 Before:B139162666 After:B144805795 **307,339,354,361** Routine Name: ORAMSET Before: B40743224 After: B43363006 **307,361** Routine Name: ORAMX Before:B153727620 After:B164083781 **307,339,361** Routine Name: ORCDGMRC Before: B39851331 After: B41619023 **4,26,68,100,181,361** Routine Name: ORCMGMCK Before: B37075731 After: B38936285 **181,361** Routine Name: ORDV04 Before: B74664100 After: B78115705 **109,148,160,208,195,241,215, 274,256,243,306,361** Routine Name: ORMBLDGM Before: B5247581 After: B5907339 **26,68,97,190,195,280,361** Routine Name: ORQ2 Before: B51979169 After: B60457146 **12,56,75,94,141,213,195,243, 282,293,280,346,361** Routine Name: ORQ21 Before: B35097340 After: B35230929 **141,190,195,215,243,361** Routine Name: ORQQPL Before: B25909130 After: B30115835 **9,10,85,173,306,361** Routine Name: ORQQPL1 Before: B77752949 After: B97265691 **10,85,148,173,203,206,249, 243,280,306,361** Routine Name: ORQQPL2 Before: B35231801 After: B37792053 **10,306,361** Routine Name: ORQQPL3 Before: B52966029 After: B68312739 **10,148,173,243,280,306,361** Routine Name: ORQQPL4 Before: B10666256 After: B12182023 **306,361** Routine Name: ORWDBA1 Before: B58828931 After: B58940047 **190,195,229,215,243,361** Routine Name: ORWDBA2 Before: B27608999 After: B28669388 **195,361** Routine Name: ORWDBA3 Before: B40638555 After: B40814216 **190,195,243,361** Routine Name: ORWDBA4 Before: B10113870 After: B10287761 **195,243,361** Routine Name: ORWDBA7 Before: B17868873 After: B19319125 **195,215,243,361** Routine Name: ORWGAPIA Before: B36731546 After: B38611591 **215,251,260,243,372,361** Routine Name: ORWIB Before: B5804851 After: Delete Routine Name: ORWPCE Before: B53783465 After: B60062605 **10,85,116,173,190,195,215, 243,295,280,306,361** Routine Name: ORWPCE1 Before: B67787627 After: B71259369 **10,85,116,132,148,187,190, 215,243,280,306,361** Routine Name: ORWPCE2 Before: B50908533 After: B51147724 **10,85,109,116,173,195,243,306,361** Routine Name: ORWPCE3 Before: B56135760 After: B58956270 **10,85,116,190,280,306,371,361** Routine Name: ORWPCE4 Before: B12891193 After: B18602559 **10,85,116,173,190,195,215, 243,295,280,306,361** Routine Name: ORY361 Before: n/a After: B8049239 **361** Routine list of preceding patches: 181, 346, 351, 354, 371, 372 ============================================================================= User Information: Entered By : Date Entered : APR 09, 2012 Completed By: Date Completed: AUG 05, 2014 Released By : Date Released : AUG 05, 2014 ============================================================================= Packman Mail Message: ===================== No routines included