$TXT Created by DEVESS.DOMAIN.EXT (KIDS) on Wednesday, 05/14/14 at 16:39 ============================================================================= Run Date: AUG 29, 2014 Designation: ROR*1.5*19 Package : ROR - CLINICAL CASE REGISTRIES Priority: Mandatory Version : 1.5 SEQ #21 Status: Released Compliance Date: SEP 12, 2014 ============================================================================= Associated patches: (v)ROR*1.5*5 <<= must be installed BEFORE `ROR*1.5*19' (v)ROR*1.5*12 <<= must be installed BEFORE `ROR*1.5*19' (v)LEX*2*80 <<= must be installed BEFORE `ROR*1.5*19' (v)ICD*18*57 <<= must be installed BEFORE `ROR*1.5*19' (v)GMPL*2*42 <<= must be installed BEFORE `ROR*1.5*19' (v)ROR*1.5*20 <<= must be installed BEFORE `ROR*1.5*19' (v)ROR*1.5*23 <<= must be installed BEFORE `ROR*1.5*19' Subject: ICD-10 CLINICAL CASE REGISTRIES CLASS 1 REMEDIATION Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Prod_Overview_Guide_Groups_5_6_7.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 Clinical Case Registries (CCR) application was updated to address the ICD-10 code set. 1. Registry update process has been changed so that Reason for Selection for a patient added to a Registry can also be ICD-10 code in outpatient file, ICD-10 code in Outpatient Encounter file (409.68), ICD-10 code in the PTF file (45) or ICD-10 code in Problem List package. 2. Registry update process for historical encounters has been modified. For historical encounters, Date of Interest for determining Coding System is the visit creation date instead of the visit date. 3. ICD-10 diagnoses and ICD-10 procedure codes can be searched for in the ROR Report parameters. 4. ICD-10 diagnoses codes can be saved in Your Templates along with ICD-9 diagnoses codes. 5. Common Templates have been updated to include ICD-10 codes. Note: The Pre-install routine saves the current Common Templates for 180 days in ^XTMP("RORP19",$J) global before updating them with ICD-9 and ICD-10 codes. If a Common Template has been modified, it will be overwritten with the original ICD-9 codes and new ICD-10 codes. 6. Reports show ICD-10 diagnoses and procedure codes. 7. CCR Registry information that is sent to the National Database via Health Level (HL7) messages now can differentiate between ICD-9 and ICD-10 diagnosis codes. 8. RPC call ROR LIST ICD-9 was removed and replaced by ROR LIST ICD. ROR LIST ICD is now linked to option ROR GUI. Patch Components ================ Data Dictionary --------------- File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------- -------------------- ROR SELECTION RULE (#798.2) CODING SYSTEM (#7) New File Data --------- File Name (#) Record Name New/Modified/Deleted ------------- ----------- -------------------- ROR SELECTION RULE (#798.2) VA HIV PROBLEM Modified VA HIV PROBLEM (ICD10) New VA HIV PTF Modified VA HIV PTF (ICD10) New VA HIV VPOV Modified VA HIV VPOV (ICD10) New VA HEPC PROBLEM Modified VA HEPC PROBLEM (ICD10) New VA HEPC PTF Modified VA HEPC PTF (ICD10) New VA HEPC VPOV Modified VA HEPC VPOV (ICD10) New File Name (#) Record Name New/Modified/Deleted ------------- ----------- -------------------- ROR REGISTRY PARAMETERS VA HIV Modified (#798.1) VA HEPC Modified File Name (#) Record Name New/Modified/Deleted ------------- ----------- -------------------- ROR REPORT PARAMETERS Diagnoses (#13) Modified (#799.34) Procedures (#15) Modified File Name (#) Record Name New/Modified/Deleted ------------- ----------- -------------------- ROR LIST ITEM (#799.1) ICD New ICD10 New ICDFILT New ICDLST New Dialog Name New/Modified/Deleted ----------- -------------------- 7981013.001 Diagnoses (HTML) Modified 7981013.002 Diagnoses (CSV) Modified 7981015.002 Procedures (CSV) Modified 7981999.001 Common XSL templates (HTML) 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 ----------- ---- -------------------- ROR GUI Broker 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: ----------- Coatesville VA Medical Center, Coatesville, PA Palo Alto VA Medical Center, Palo Alto, CA Documentation Retrieval Instructions: ------------------------------------- Updated documentation describing the new functionality introduced by this patch is available. The preferred method is to File Transfer Protocol (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 Department of Veterans Affairs (VA) Software Documentation Library at: http://www4.domain.ext/vdl/ File Description File Name (FTP Mode) ---------------------------------------------------------------------------- ICD-10 Release Notes for CCR (ROR*1.5*19) ICD-10_RN_ROR_1_5_19.PDF (Binary) Tech Manual / Security Guide ROR1_5_19TM.PDF (Binary) User Manual ROR1_5_19UM.PDF (Binary) Install Manual / Implementation Guide ROR1_5_19IG.PDF (Binary) Production Overview Guide ICD-10_Prod_Overview_Guide_Groups_5_6_7.pdf (Binary) Patch Installation: ------------------ This patch includes an M patch and a revised Graphical User Interface (GUI) executable. Installation of the patch will not take more than 5 minutes. This patch can be installed with VistA users online, but Registry users should be logged out of the CCR Registry Application, as a new GUI is to be installed. NOTE: The nightly task (the [ROR TASK] option) must not be running during the 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. 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 # (ROR*1.5*19): 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 ROR*1.5*19. 5. If 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. GUI INSTALLATION INSTRUCTIONS ----------------------------- IMPORTANT NOTE: This patch includes a revised Graphical User Interface (GUI) application which must be distributed to the appropriate workstations, or the appropriate File Server. Please consult with your system manager for the proper procedure in order to perform the GUI Update. After the patch is installed correctly, and the GUI is updated, the version of the GUI will be 1.5.19. File Name Contents Transfer Mode --------- ----------- ------------- ROR1_5P19GUI.ZIP Zipped GUI BINARY 1. Unzip the ROR1_5P19GUI.ZIP into a temporary folder. 2. Open the temporary folder and double click the file CCRSetup.exe to begin the install. 3. Wait until the setup Wizard prepares the installation procedure. A welcome message displays. 4. Click Next to continue the installation. 5. Select the directory in which to install the CCR GUI. We recommend that you accept the default directory: C:\Program Files\VistA\Clinical Case Registries. To select a different location, click Change and select the directory. Click Next to proceed with the installation. 6. Review the installation settings and click Install to proceed. The setup Wizard finishes the installation and a confirmation screen displays. 7. Click Finish. Post-Installation Instructions ------------------------------ After the patch is installed and the MailMan message is generated, delete the following routines using the Delete Routines [XTRDEL] option: RORP019, RORP019A, RORP019B. Routine Information: ==================== The second line of each of these routines now looks like: ;;1.5;CLINICAL CASE REGISTRIES;**[Patch List]**;Feb 17, 2006;Build 43 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: RORHL081 Before: B40675935 After: B53807054 **19** Routine Name: RORHL09 Before: B46542068 After: B49866717 **1,5,19** Routine Name: RORHL10 Before: B39368946 After: B43699436 **1,19** Routine Name: RORHL11 Before: B29297297 After: B32282660 **1,19** Routine Name: RORHL17 Before: B29156798 After: B32627161 **10,19** Routine Name: RORHL21 Before: B60105937 After: B73970107 **14,19** Routine Name: RORHLUT1 Before: B6316864 After: B11358445 **19** Routine Name: RORP019 Before: n/a After: B56048541 **19** Routine Name: RORP019A Before: n/a After: B61479192 **19** Routine Name: RORP019B Before: n/a After: B49874731 **19** Routine Name: RORRP016 Before: B72990496 After: B89480677 **1,10,23,19** Routine Name: RORTSK13 Before: B47863947 After: B56838764 **1,8,19** Routine Name: RORUPD Before: B25273345 After: B27217675 **19** Routine Name: RORUPD07 Before: B7767949 After: B9069135 **19** Routine Name: RORUPD08 Before: B22389683 After: B26892777 **19** Routine Name: RORUPDUT Before: B53163080 After: B61030807 **18,19** Routine Name: RORUPR Before: B27398451 After: B30466397 **19** Routine Name: RORUPR1 Before: B71424454 After: B78546166 **12,19** Routine Name: RORUTL11 Before: B3742734 After: B3834939 **13,14,15,17,18,20,19** Routine Name: RORX001 Before: B45889554 After: B46071921 **8,10,14,17,19** Routine Name: RORX002 Before: B23097652 After: B24874852 **1,8,19** Routine Name: RORX003 Before: B37325159 After: B37498647 **1,8,13,19** Routine Name: RORX004 Before: B25410396 After: B25510463 **8,13,19** Routine Name: RORX005A Before: B38542920 After: B38694345 **1,8,10,13,19** Routine Name: RORX006A Before: B33446739 After: B33568931 **8,13,19** Routine Name: RORX007A Before: B25232646 After: B25293169 **1,8,13,19** Routine Name: RORX008A Before: B41054061 After: B41310899 **8,13,19** Routine Name: RORX009A Before: B78980793 After: B79362879 **8,13,19** Routine Name: RORX010 Before: B59198848 After: B59462663 **8,13,19** Routine Name: RORX011 Before: B97364438 After: B97708529 **1,8,13,19** Routine Name: RORX012A Before: B86805561 After: B87183312 **8,13,19** Routine Name: RORX013 Before: B8643469 After: B9621515 **1,19** Routine Name: RORX013A Before: B66335578 After: B66326088 **1,13,19** Routine Name: RORX013C Before: B11993633 After: B15621973 **19** Routine Name: RORX014A Before: B41146323 After: B41362081 **8,13,19** Routine Name: RORX015 Before: B12843309 After: B13984728 **1,19** Routine Name: RORX015A Before: B92384089 After: B93935282 **1,8,13,19** Routine Name: RORX015C Before: B20478911 After: B26111732 **1,19** Routine Name: RORX016A Before: B14087578 After: B14149594 **8,13,19** Routine Name: RORX018 Before:B163618513 After:B164117438 **10,13,19** Routine Name: RORX019 Before:B164858937 After:B165372487 **10,13,14,15,19** Routine Name: RORX020 Before: B68556557 After: B68783751 **10,13,14,15,19** Routine Name: RORX021A Before:B128932587 After:B131321298 **17,19** Routine Name: RORX022A Before:B129621152 After:B130137226 **8,13,17,18,19** Routine Name: RORXU002 Before:B118388269 After:B120128201 **1,10,13,15,17,19** Routine Name: RORXU008 Before: B8451586 After: B11632767 **1,19** Routine Name: RORXU010 Before: B9497434 After: B16438309 **8,19** ============================================================================= User Information: Entered By : Date Entered : FEB 06, 2012 Completed By: Date Completed: AUG 28, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT