$TXT Created by MONOSKY,ALAN at CTST.FO-BIRM.MED.VA.GOV (KIDS) on Tuesday, 10/05/10 at 15:11 ============================================================================= Run Date: NOV 15, 2010 Designation: SR*3*174 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #166 Status: Released Compliance Date: DEC 16, 2010 ============================================================================= Associated patches: (v)SR*3*170 <<= must be installed BEFORE `SR*3*174' (v)SR*3*171 <<= must be installed BEFORE `SR*3*174' Subject: ANNUAL SURGERY UPDATES - VASQIP Category: - Enhancement (Mandatory) - Data Dictionary - Routine - Input Template Description: ============ This patch provides the annual updates to the Veterans Health Information Systems and Technology Architecture (VistA) Surgery package in support of the VA Surgery Quality Improvement Program (VASQIP). The updates include the addition of new data fields, changes to existing fields, changes to data entry screens, changes to reports, and changes to the Surgery Risk Assessment transmissions. Non-Cardiac Assessment Modifications: ------------------------------------- - The frequency of transmission of 1-liner cases is changed from the 45th day past the end of the quarter to the 45th day past the end of the month. - Patient gender is added to the information transmitted on 1-liner cases. - New fields added to SURGERY file (#130): o ASSESSMENT COMPLETED BY field (#272.1) When a non-cardiac assessment is completed, the user who completed the assessment will be identified in this field and the name of the user will be transmitted with the assessment. o PREOPERATIVE SLEEP APNEA field (#237.1) This field is added to the Preoperative Information (Enter/Edit) [SROA PREOP DATA] option, the assessment printout, assessment transmission and the list of missing items functionality. - The SURGERY CONSULT DATE field (#513) and the SURGERY CONSULT REQUESTED field (#516) are eliminated as non-cardiac assessment variables. - This patch updates the CPT EXCLUSIONS file (#137) with data for fiscal year 2010. - Field descriptions are modified in the following fields in SURGERY file (#130): o HEIGHT field (#236) The description and the input transform are modified. o WEIGHT field (#237) The description and the input transform are modified. o HISTORY OF COPD field (#203) o ASCITES field (#212) o DISSEMINATED CANCER (Y/N) field (#338) o INTRAOP DISSEMINATED CANCER field (#443) o BLEEDING DISORDERS field (#216) o OTHER PROCEDURE field (#.01 of OTHER PROCEDURES multiple field #.42) o INTRAOPERATIVE ASCITES field (#446) o DVT/THROMBOPHLEBITIS field (#263) Note: The description of DVT/THROMBOPHLEBITIS in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) is updated as well. - On the Operation Information (Enter/Edit) [SROA OPERATION DATA] option: o When selecting item #3, CPT Codes (view only), the following note is added to the screen: CPT Codes should be verified. If need be, report discrepancies to the official CPT coder for surgery. o When selecting item #5, Concurrent Procedure, the following note is added to the screen: Concurrent Procedure: An additional operative procedure performed by different surgical team (i.e., a different specialty/service) under the same anesthetic which has a CPT code different from that of the Principal Operative Procedure (e.g., fixation of a femur fracture in a patient undergoing a laparotomy for trauma). This field should be verified and, if need be, report discrepancies to the official CPT coder for surgery. - A new entry, N - NONE ASSIGNED, is added to the ASA CLASS file (#132.8). The output transform on ASA CLASS field (#1.13) in SURGERY file (#130) is modified to allow the display of the new entry. - The list of missing items functionality is updated to remove deleted variables and to include the new variables. Cardiac Assessment Modifications: --------------------------------- - The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR DELAY field (#515) are eliminated as cardiac assessment variables. - New fields added to SURGERY file (#130) as new cardiac variables: o PREOP ATRIAL FIBRILLATION field (#509) This field is added to the Clinical Information (Enter/Edit) [SROA CLINICAL INFORMATION] option. o PULMONARY VALVE PROCEDURE field (#493) This field is added to the Cardiac Procedures Operative Data (Enter/Edit) [SROA CARDIAC PROCEDURES] option. o BNP field (#507) This field is added to the Laboratory Test Results (Enter/Edit) [SROA LAB-CARDIAC] option. o BNP DATE field (#507.1) This field is added to the Laboratory Test Results (Enter/Edit) [SROA LAB-CARDIAC] option. o POSTOP ATRIAL FIBRILLATION field (#448) This field is added to the Outcome Information (Enter/Edit) [SROA CARDIAC-OUTCOMES] option. Associated with this yes/no field is a new entry, POSTOPERATIVE ATRIAL FIBRILLATION, in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5). - The following fields in SURGERY file (#130) are modified: o AORTIC VALVE PROCEDURE field (#367) o MITRAL VALVE PROCEDURE field (#368) o TRICUSPID VALVE PROCEDURE field (#369) o FUNCTIONAL HEALTH STATUS field (#240) o PREOP CIRCULATORY DEVICE field (#474) o ENDOVASCULAR REPAIR field (#505) o D/T PATIENT DISCH FROM ICU field (#471) - Corrections are made to the list of missing items functionality for the following fields in the SURGERY file (#130): o ANGINA field (#267) o CONVERT FROM OFF PUMP TO CPB field (#469) - TIME OPERATION BEGAN field (#.22) and TIME OPERATION ENDS field (#.23) are moved from the Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE RISK] option to the Resource Data [SROA CARDIAC RESOURCE] option. - The list of missing items functionality is updated to remove deleted variables and to include the new variables. - The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR DELAY field (#515) are removed from the Resource Data [SROA CARDIAC RESOURCE] option. Associated Remedy Ticket(s): ============================ N/A New Service Request (NSR): ========================== 20080142 - FY09 Surgery Annual Updates Test Sites: =========== CLEVELAND, OH MINNEAPOLIS, MN PHILADELPHIA, PA PITTSBURGH HCS, PA WASHINGTON, DC Documentation Retrieval: ======================== Sites will retrieve documentation from the following FTP addresses. The preferred method is to FTP the files from download.vista.med.va.gov. This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: OI FIELD OFFICE FTP ADDRESS DIRECTORY Albany ftp.fo-albany.med.va.gov anonymous.software Hines ftp.fo-hines.med.va.gov anonymous.software Salt Lake City ftp.fo-slc.med.va.gov anonymous.software FILE NAME DESCRIPTION/TITLE FORMAT SR_3_UM_R1210.PDF Surgery V. 3.0 User Manual BINARY SR_3_P174_UM_CP.PDF Surgery V. 3.0 User Manual Change Pages BINARY SR_3_TM_R1210.PDF Surgery V. 3.0 Technical Manual/ BINARY Security Guide SR_3_P174_TM_CP.PDF Surgery V. 3.0 Technical Manual/ BINARY Security Guide Change Pages SR_3_P174_RN.PDF Surgery V. 3.0 Release Notes BINARY Once released, documentation can also be retrieved from the VistA Documentation Library (VDL) on the Internet at the following address, http://www.va.gov/vdl. Installation Instructions: ========================== This patch should be installed during a period of low system activity with Surgery users off the system. It should be installed at a time when the Surgery Nightly Cleanup and Updates [SRTASK-NIGHT] option is not running. No options need to be placed out of service. Installation time is expected to be less than 5 minutes. 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. 2. From the Kernel Installation & Distribution System menu, select the Installation menu. 3. From this menu, you may elect to use the following options (when prompted for the INSTALL NAME, enter SR*3.0*174): (a) Backup a Transport Global - this option will create a backup message of any routines exported with the patch. It will NOT backup any other changes such as DDs or templates. (b) Compare Transport Global to Current System - this option will allow you to view all changes that will be made when the patch is installed. It compares all components of the patch (routines, DDs, 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. (d) Print Transport Global - this option will allow you to view the components of the KIDS build. 4. Use the Install Package(s) option and select the package SR*3.0*174. 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 NO. NOTE: This patch includes pre-installation and post-installation processes within the routines SR174UTL, SR174UT0 and SR174UT1. - The pre-installation process performs the following actions: o Deletes the existing data from the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) o Deletes the data dictionary for the HEIGHT field (#236) o Deletes the data dictionary for the OTHER PROCEDURE field (#.01) in the OTHER PROCEDURES multiple field (#.42) - The post-installation process performs the following actions: o Add B-type Natriuretic Peptide (BNP) to the RISK MODEL LAB TEST file 139.2 o Adds N-None Assigned to the ASA CLASS file (#132.8) o Converts the AQ cross reference from quarterly to monthly format o Updates the CPT EXCLUSIONS file (#137) The routines SR174UTL, SR174UT0 and SR174UT1 are deleted at the end of patch installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0; Surgery ;**[Patch List]**;24 Jun 93;Build 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: SR174UT0 Before: n/a After: B35597559 **174** Routine Name: SR174UT1 Before: n/a After: B2740713 **174** Routine Name: SR174UTL Before: n/a After: B52585002 **174** Routine Name: SROACAR Before: B13335693 After: B13317261 **38,71,93,95,100,125,142,153, 166,174** Routine Name: SROACL1 Before: B27042913 After: B27741852 **38,71,95,125,153,160,174** Routine Name: SROACLN Before: B10163917 After: B10164001 **38,47,71,95,100,125,142,174** Routine Name: SROACOM Before: B15296750 After: B15413481 **38,55,63,65,88,93,95,102,100, 125,134,142,160,166,174** Routine Name: SROACOM1 Before: B19655415 After: B19771311 **166,174** Routine Name: SROACOP Before: B24468418 After: B23026307 **38,47,71,88,95,107,100,125, 142,153,160,166,174** Routine Name: SROACPM Before: B57221658 After: B53758075 **71,93,95,99,100,125,142,160, 164,166,174** Routine Name: SROACPM1 Before: B18300862 After: B18824569 **125,153,166,174** Routine Name: SROACPM2 Before: B6018806 After: B6724131 **125,153,174** Routine Name: SROACR1 Before: B19934044 After: B22164276 **38,71,93,95,99,125,153,174** Routine Name: SROADEL Before: B8400705 After: B8483911 **38,83,100,174** Routine Name: SROAERR Before: B5386275 After: B5443025 **38,65,100,174** Routine Name: SROAL11 Before: B19052112 After: B20255252 **38,47,65,95,125,153,160,174** Routine Name: SROAMEAS Before: B681156 After: B450182 **38,125,153,166,170,174** Routine Name: SROAOP Before: B19808146 After: B22239437 **19,38,47,63,67,81,86,97,100, 125,142,153,160,166,171,174** Routine Name: SROAOUT Before: B12427233 After: B12427409 **125,135,142,160,174** Routine Name: SROAPAS Before: B28963323 After: B27566457 **38,47,81,88,111,112,100,125, 153,166,174** Routine Name: SROAPCA Before: B25536856 After: B26334620 **38,47,71,95,125,134,153,160,174** Routine Name: SROAPCA1 Before: B30576973 After: B29601369 **38,63,71,88,95,125,142,153, 166,174** Routine Name: SROAPCA2 Before: B19366840 After: B18386426 **38,71,95,125,153,174** Routine Name: SROAPCA3 Before: B22548966 After: B22852862 **38,71,95,101,125,160,164,166,174** Routine Name: SROAPCA4 Before: B14863488 After: B15348981 **95,125,153,174** Routine Name: SROAPM Before: B46797280 After: B44670342 **47,81,111,107,100,125,142, 160,166,174** Routine Name: SROAPRE Before: B18131652 After: B16062002 **38,47,55,88,100,125,142,166,174** Routine Name: SROAPRE1 Before: B9700130 After: B10006731 **38,47,125,135,141,166,174** Routine Name: SROAPRT1 Before: B13596603 After: B14081364 **38,47,125,153,166,174** Routine Name: SROAPS1 Before: B23125324 After: B23960917 **38,47,125,153,166,174** Routine Name: SROATCM Before: B25329729 After: B25541535 **38,55,68,90,93,95,99,125,153,174** Routine Name: SROATCM1 Before: B51948425 After: B52450846 **38,71,79,90,88,93,95,111,125, 135,134,142,153,160,174** Routine Name: SROATCM3 Before: B12747087 After: B12876503 **125,135,153,164,166,174** Routine Name: SROATM1 Before: B24970386 After: B25037601 **27,38,47,60,62,81,88,93,95, 125,153,160,166,174** Routine Name: SROATM2 Before: B33815043 After: B33885599 **38,39,45,47,57,60,62,68,81, 88,97,129,125,142,153,160,174** Routine Name: SROATM3 Before: B20814871 After: B22124588 **27,38,62,88,97,111,142,153,174** Routine Name: SROATMNO Before: B28046675 After: B28540920 **27,38,47,62,68,79,83,81,88, 93,95,97,129,125,142,153,160, 166,174** Routine Name: SROAUTL Before: B41172793 After: B41192631 **38,46,47,63,81,88,95,112,100, 125,134,142,153,160,166,174** Routine Name: SROAUTL0 Before: B18207174 After: B19393426 **38,47,57,60,61,63,81,125,153, 160,174** Routine Name: SROAUTL1 Before: B17536014 After: B17300696 **38,47,81,125,153,160,166,174** Routine Name: SROAUTL4 Before: B50847568 After: B50279210 **38,71,95,125,153,160,164,166,174** Routine Name: SROAUTLC Before: B27748931 After: B27833831 **38,71,90,88,95,97,102,96,125, 153,163,164,166,174** Routine Name: SROCCAT Before: B16630754 After: B17047332 **38,47,95,138,153,160,174** Routine Name: SROCL1 Before: B11126286 After: B11537820 **95,125,153,160,174** Routine Name: SROCON Before: B9881406 After: B9128806 **78,119,161,174** Routine Name: SROLABS Before: B8161872 After: B8361411 **166,174** Routine Name: SRONASS Before: B17561537 After: B17653883 **38,47,83,107,121,100,125,174** Routine Name: SROPROC Before: B18785433 After: B20860366 **1,38,86,174** Routine Name: SROQ0 Before: B16257215 After: B16293917 **62,70,77,50,95,123,129,153,174** Routine Name: SROQ1A Before: B31349144 After: B31612444 **38,62,50,129,153,160,174** Routine Name: SROQ2 Before: B33212500 After: B33212600 **38,62,70,50,95,123,129,134, 153,160,163,174** Routine Name: SROQM1 Before: B26419975 After: B26795235 **38,62,70,129,153,160,174** Routine Name: SROQT Before: B35140815 After: B35140873 **38,43,62,67,70,77,50,95,123, 126,129,153,160,163,174** Routine Name: SROUTC Before: B16240379 After: B17156517 **125,135,153,174** Routine Name: SROXR4 Before: B8185921 After: B8346858 **62,83,100,153,166,174** ============================================================================= User Information: Entered By : MONOSKY,ALAN Date Entered : APR 30, 2010 Completed By: DEBRULER,DOUG Date Completed: NOV 10, 2010 Released By : MUSGROVE,STEVE Date Released : NOV 15, 2010 ============================================================================= Packman Mail Message: ===================== $END TXT