$TXT Created by ALSAHHAR,SAMI at CTST.FO-BIRM.MED.VA.GOV (KIDS) on Wednesday, 07/13/11 at 13:51 ============================================================================= Run Date: AUG 22, 2011 Designation: SR*3*175 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #168 Status: Released Compliance Date: SEP 22, 2011 ============================================================================= Associated patches: (v)SR*3*158 <<= must be installed BEFORE `SR*3*175' (v)SR*3*167 <<= must be installed BEFORE `SR*3*175' (v)SR*3*174 <<= must be installed BEFORE `SR*3*175' Subject: ANNUAL SURGERY UPDATES-VASQIP 2011 INCREMENT I Category: - Routine - Enhancement (Mandatory) - Other - Input Template - Data Dictionary Description: ============ This patch provides the VASQIP 2011 Increment 1 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, changes to the Surgery Risk Assessment transmissions, and changes to Transplant components of the VistA Surgery application. I. General Surgery Updates: -------------------------- 1. All options under the Quarterly Report Menu [SROQ MENU] are retired except the Admissions Within 14 Days of Outpatient Surgery [SROQADM] option, the Report of Missing Quarterly Report Data [SROQ MISSING DATA] option and Deaths Within 30 Days of Surgery [SROQD], which are relocated under the Management Reports [SRO-CHIEF REPORTS] menu. 2. Remove references to "NSQIP" and "CICSP" in field labels and field definitions. When the text is not in the header of a definition, the terms "NSQIP" and "CICSP" are replaced with "VASQIP". The complete list of these fields is listed in the Release Notes manual. 3. Addition of Scheduling Date fields The following new fields are added to the SURGERY file (#130): - ORIGINAL DESIRED PROCEDURE DATE field (#612) - D/T OF DESIRED PROCEDURE DATE ENTRY field (#613) - ORIGINAL SCHEDULED DATE field (#614) - D/T OF SCHEDULED DATE ENTRY field (#615) - DESIRED PROCEDURE DATE field (#616) - SCHEDULED DATE field (#617) 4. Add Time Out Verified Utilizing Checklist (a) The following new fields are added to the SURGERY file (#130): - CONFIRM PATIENT IDENTITY field (#600) - PROCEDURE TO BE PERFORMED field (#601) - SITE OF PROCEDURE field (#602) - VALID CONSENT FORM field (#603) - CONFIRM PATIENT POSITION field (#604) - MARKED SITE CONFIRMED field (#605) - PREOPERATIVE IMAGES CONFIRMED field (#606) - CORRECT MEDICAL IMPLANTS field (#607) - ANTIBIOTIC PROPHYLAXIS field (#608) - APPROPRIATE DVT PROPHYLAXIS field (#609) - BLOOD AVAILABILITY field (#610) - AVAILABILITY OF SPECIAL EQUIP field (#611) - CHECKLIST COMMENT field (#85) (b) The VALID ID/CONSENT CONFIRMED BY field (#.69) has been renamed to CHECKLIST CONFIRMED BY. (c) All the above new fields are added to the new Time Out Verified Utilizing Checklist option [SROMEN-VERF], which has been added to the Operation Menu [SROPER]. (d) The existing ensuring correct surgery fields (MARKED SITE CONFIRMED field (#73), PREOPERATIVE IMAGING CONFIRMED field (#72), TIME OUT VERIFIED field (#71), MARKED SITE COMMENTS field (#84), IMAGING CONFIRMED COMMENTS field (#83), TIME OUT VERIFIED COMMENTS field (#82), and VALID ID/CONSENT CONFIRMED BY field (#.69)) will be removed from the following Operation Menu options: - Operation Startup [SROMEN-START] - Operation [SROMEN-OP] - Operation (Short Screen) [SROMEN-OUT] - Nurse Intraoperative Report [SRONRPT] (e) The existing ensuring correct surgery fields in the Nurse Intraoperative Report are replaced with the new Time Out Verified Utilizing Checklist fields (the fields listed in item "a" and "b" of this section are added). 5. OR Cancellation Report - The pre-existing reasons have been inactivated and will not be editable but can be viewed. - A new selection list for Cancellation Reasons has been added. - The SURGERY CANCELLATION REASON file (#135) will be locked with this patch so it will no longer be editable at sites. - The Update Site Configurable Files [SR UPDATE FILES] option has been updated to remove the Surgery Cancellation Reasons from the Site Configurable Files. 6. The CPT Code Exclusion list for 2011 has been updated so that the surgical package can accurately calculate the VASQIP eligible list (affecting the CPT EXCLUSIONS file (#137) and the Workload Report/List #9). 7. Two pre-existing fields for the SURGERY file (#130), PRINC ANESTHETIST field (#.31) and ANESTHESIOLOGIST SUPVR field (#.34), have been added to the Non-OR Procedure report. 8. This patch updates the Anesthesia Report and the Nurse Intraoperative Report to display values of less than 1 for the fields below with a leading zero in reports they are displayed. - DOSE field (#1) of the MEDICATIONS multiple (#130.33) - TIME ADM field (#1) of the TIME ADM multiple (#130.34) - DOSE field (#1) and the ANESTHESIA AGENTS field (#.01) of the ANESTHESIA AGENTS Multiple (#130.47) of the ANESTHESIA TECHNIQUE Multiple (#130.06) - DOSE field (#.1) of the TEST DOSE Multiple (#130.48) of the ANESTHESIA TECHNIQUE Multiple (#130.06) 9. The Clean Wound Infection Summary Report is updated to include the ORGAN/SPACE SSI field (#488) in the algorithm for calculating the clean wound infection rates. For cardiac assessed cases, ENDOCARDITIS field (#386) and MEDIASTINITIS field (#388) will be included in the algorithm for calculating the clean wound infection rates. 10. The Perioperative Occurrences Report, under the Morbidity & Mortality Reports [SROMM] option, will be modified to allow three selections as follows: 1-Intraoperative Occurrences 2-Postoperative Occurrences 3-Intraoperative and Postoperative Occurrences II. Non-Cardiac Module Updates: -------------------------------- 1. A new 30 DAY DEATH field (#342.1) has been added to the SURGERY file (#130). This field is added to the Patient Demographics (Enter/Edit) [SROA DEMOGRAPHICS] option and it will indicate operative death has occurred within 30 days of surgery. This field will be auto populated based on an entry into the DATE OF DEATH field (#342). If Date of Death occurs within 30 days or less of the date in the DATE OF OPERATION field (#.09), then this field is automatically updated to "Yes" when the Date of Death is saved. If the Date of Death is greater than 30 days from the Date of Operation then this field is automatically updated to "No" when the Date of Death is saved. 2. The data dictionary of the PREOPERATIVE SLEEP APNEA field (#237.1) of the SURGERY file (#130) has been changed to allow for an entry of "N" for "NONE" on the Preoperative Information (Enter/Edit) [SROA PREOP DATA] option. 3. Update the printed Assessment to now include the field ASSESSMENT COMPLETED BY field (#272.1) of the SURGERY file (#130). III. Cardiac Module Updates: --------------------------- 1. The field name "Myectomy for IHSS" is changed to "Myectomy" in the option for the Cardiac Procedures Operative Data (Enter/Edit) [SROA CARDIAC PROCEDURES] option and the the Print Assessment Report. 2. The data dictionary of the BRIDGE TO TRANSPLANT/DEVICE field (#481) is modified from the current values of "Yes" and "No" to "None", "Bridge to Transplant", and "Destination Therapy" 3. The existing field, WOUND CLASSIFICATION (#1.09), is added to the Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE RISK] option. This field has been added to the Cardiac Print Assessment Report. 4. The current WOUND DISRUPTION field (#404) of the Surgery file (#130) is added to the Outcome Information (Enter/Edit)[SROA CARDIAC-OUTCOMES] option. This information will appear on the Printed Assessment Report and added to the Cardiac Transmission. 5. The Clinical Information (Enter/Edit)[SROA CLINICAL INFORMATION] option is updated to allow a response of "N" or "NO" at the prompt to update all the fields to a negative value except Height, Weight, FEV1, Functional Status, Angina, and CHF. IV. Transplant Module Updates: ------------------------------- 1. HLA Typing fields in the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) across all four organ types are updated to allow entry of 4 digits (#,#,#,#). The Transplant Transmission is also updated. 2. The C-PEPTIDE AT TIME OF LISTING field (#136) of the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) has been changed to allow for a value less than 1. When the value is less than 1, it will be displayed with a leading zero (i.e., 0.6). 3. The POST-TX PROPHYLAXIS - TB field (#92) of the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) has been updated to allow a value to be entered of "N/A". This information is added to the Transmission. 4. The COLD ISCHEMIA TIME FOR ORGAN field (#87) and WARM ISCHEMIA TIME FOR ORGAN field (#85) of the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) has been added to page #1 of the Enter/Edit Transplant Assessments [SR TRANSPLANT ENTER/EDIT] option and to the Print Transplant Assessment [SRTP PRINT ASSESSMENT] option for VA and Non-VA heart transplants. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Modified/Deleted ------------------ ------------------- -------------------- SURGERY (#130) IN/OUT-PATIENT STATUS (#.011) Modified MAJOR/MINOR (#.03) Modified CASE SCHEDULE TYPE (#.035) Modified SURGERY SPECIALTY (#.04) Modified TIME PAT IN OR (#.205) Modified ANES CARE START TIME (#.21) Modified TIME OPERATION BEGAN (#.22) Modified TIME OPERATION ENDS (#.23) Modified TIME PAT OUT OR (#.232) Modified ANES CARE END TIME (#.24) Modified CHECKLIST CONFIRMED BY (#.69) Modified WOUND CLASSIFICATION (#1.09) Modified PAC(U) DISCH TIME (#1.18) Modified SCHEDULED START TIME (#10) Modified CANCEL REASON (#18) Modified CANCELLATION COMMENTS (#19) New PRINCIPAL PROCEDURE (#26) Modified CONCURRENT CASE (#35) Modified TIME OUT VERIFIED COMMENT (#85) New CURRENT SMOKER (#202) Modified PACK/YEARS (#202.1) Modified HISTORY OF COPD (#203) Modified VENTILATOR DEPENDENT (#204) Modified CONGESTIVE HEART FAILURE (#207) Modified HYPERTENSION REQUIRING MEDS (#208) Modified CARDIOMEGALY (#209) Modified CURRENTLY ON DIALYSIS (#211) Modified ESOPHAGEAL VARICES (#213) Modified PGY OF PRIMARY SURGEON (#214) Modified WEIGHT LOSS > 10% (#215) Modified TRANSFUSION > 4 RBC UNITS (#217) Modified OPEN WOUND (#218) Modified PREOPERATIVE SEPSIS (#218.1) Modified PREOPERATIVE HEMOGLOBIN (#219) Modified PREVIOUS PCI (#220) Modified PREOPERATIVE SERUM CREATININE (#223) Modified PREOPERATIVE SERUM ALBUMIN (#225) Modified PREOPERATIVE SLEEP APNEA (#237.1) Modified DNR STATUS (#238) Modified ETOH > 2 DRINKS/DAY (#246) Modified LENGTH OF POST-OP STAY (#247) Modified SUPERFICIAL INCISIONAL SSI (#248) Modified DEEP INCISIONAL SSI (#249) Modified SYSTEMIC SEPSIS (#250) Modified PNEUMONIA (#251) Modified PULMONARY EMBOLISM (#252) Modified OTHER RESPIRATORY OCCURRENCE (#253) Modified ACUTE RENAL FAILURE (#254) Modified URINARY TRACT INFECTION (#255) Modified STROKE/CVA (#256) Modified POSTOP BLEEDING/TRANSFUSIONS (#257) Modified MYOCARDIAL INFARCTION (#258) Modified GRAFT/PROSTHESIS/FLAP FAILURE (#261) Modified RETURN TO OR WITHIN 30 DAYS (#262) Modified PREVIOUS CARDIAC SURGERY (#266) Modified PREGNANCY (#269) Modified ON VENTILATOR >48 HOURS (#285) Modified OTHER URINARY TRACT OCCURRENCE (#286) Modified PERIPHERAL NERVE INJURY (#287) Modified DYSPNEA (#325) Modified CURRENT PNEUMONIA (#326) Modified RENAL FAILURE (#328) Modified REVASCULARIZATION/AMPUTATION (#329) Modified REST PAIN/GANGRENE (Y/N) (#330) Modified IMPAIRED SENSORIUM (#332) Modified COMA (#333) Modified HISTORY OF TIA'S (#334) Modified CVA/STROKE WITH NEURO DEFICIT (#335) Modified CVA/STROKE - NO NEURO DEFICIT (#336) Modified CHEMOTHERAPY IN LAST 30 DAYS (#338.1) Modified RADIOTHERAPY IN LAST 90 DAYS (#338.2) Modified STEROID USE FOR CHRONIC COND. (#339) Modified INTRAOP RBC UNITS TRANSFUSED (#340) Modified DATE OF DEATH (#342) Modified 30 DAY DEATH (#342.1) New OTHER CNS OCCURRENCE (#343) Modified OTHER CARDIAC OCCURRENCE (#344) Modified DIABETES (#346) Modified PULMONARY RALES (#348) Modified ACTIVE ENDOCARDITIS (#349) Modified PCI (#351) Modified NUM OF PRIOR HEART SURGERIES (#352) Modified LVEDP (#357) Modified AORTIC SYSTOLIC PRESSURE (#358) Modified PA SYSTOLIC PRESSURE (#359) Modified PAW MEAN PRESSURE (#360) Modified LEFT MAIN STENOSIS (#361) Modified LAD STENOSIS (#362.1) Modified RIGHT CORONARY STENOSIS (#362.2) Modified CIRCUMFLEX STENOSIS (#362.3) Modified LV CONTRACTION SCORE (#363) Modified ESTIMATE OF MORTALITY (#364) Modified VALVE REPAIR (#370) Modified GREAT VESSEL REPAIR (Y/N) (#372) Modified CARDIAC TRANSPLANT (#373) Modified MYECTOMY (#378) Modified OTHER TUMOR RESECTION (#379) Modified OTHER CARDIAC PROCEDURES (#383.1) Modified OPERATIVE DEATH (#384) Modified PERIOPERATIVE MI (#385) Modified ENDOCARDITIS (#386) Modified MEDIASTINITIS (#388) Modified REOPERATION FOR BLEEDING (#389) Modified STROKE (#390) Modified REPEAT CARDIAC SURG PROCEDURE (#391) Modified OTHER OCCURRENCES (ICD9) (#392) Modified HISTORY OF MI (#394) Modified ANGINA ONE MONTH PRIOR (#395) Modified CHF WITHIN ONE MONTH (#396) Modified QUADRIPLEGIA (Y/N) (#398) Modified PARAPLEGIA (Y/N) (#399) Modified HEMIPLEGIA/HEMIPARESIS (Y/N) (#400) Modified TUMOR INVOLVING CNS (Y/N) (#401) Modified WOUND DISRUPTION (#404) Modified RENAL INSUFFICIENCY (#409) Modified COMA > 24 HOURS POSTOP (#410) Modified CARDIAC ARREST REQ CPR (#411) Modified UNPLANNED INTUBATION (Y/N) (#412) Modified TRANSFER STATUS (#413) Modified MITRAL REGURGITATION (#415) Modified NUMBER WITH OTHER CONDUIT (#416) Modified HOSPITAL ADMISSION DATE (#418) Modified HOSPITAL DISCHARGE DATE (#419) Modified ADMISSION/TRANSFER DATE (#420) Modified DISCHARGE/TRANSFER DATE (#421) Modified CARDIAC RISK PREOP COMMENTS (#430) Modified CARDIAC RESOURCE DATA COMMENTS (#431) Modified CLOSTRIDIUM DIFFICILE COLITIS (#447) Modified OBSERVATION ADMISSION DATE (#452) Modified OBSERVATION DISCHARGE DATE (#453) Modified OBSERVATION TREATING SPECIALTY (#454) Modified HDL (CARDIAC) (#457) Modified HDL, DATE (#457.1) Modified SERUM TRIGLYCERIDE (CARDIAC) (#458) Modified SERUM TRIGLYCERIDE, DATE (CAR) (#458.1) Modified SERUM POTASSIUM (CARDIAC) (#459) Modified SERUM POTASSIUM, DATE(CARDIAC) (#459.1) Modified SERUM BILIRUBIN (CARDIAC) (#460) Modified SERUM BILIRUBIN, DATE (CARD) (#460.1) Modified LDL (CARDIAC) (#461) Modified LDL, DATE (CARDIAC) (#461.1) Modified TOTAL CHOLESTEROL (CARDIAC) (#462) Modified TOTAL CHOLESTEROL, DATE (#462.1) Modified HYPERTENSION (#463) Modified TRACHEOSTOMY (#466) Modified NEW MECHANICAL CIRCULATORY (#467) Modified CONVERT FROM OFF PUMP TO CPB (#469) Modified D/T PATIENT EXTUBATED (#470) Modified CARDIAC SURG PERFORMED NON-VA (#472) Modified HOMELESS (#473) Modified DIABETES (CARDIAC) (#475) Modified PROCEDURE TYPE (#476) Modified AORTIC STENOSIS (#477) Modified RE-DO LAD STENOSIS (#478) Modified RE-DO RT CORONARY STENOSIS (#479) Modified RE-DO CIRCUMFLEX STENOSIS (#480) Modified BRIDGE TO TRANSPLANT/DEVICE (#481) Modified *MAZE PROCEDURE (#482) Modified TMR (#483) Modified OTHER CARDIAC PROCEDURES-LIST (#484) Modified PRIOR HEART SURGERIES (#485) Modified ORGAN/SPACE SSI (#488) Modified OTHER WOUND OCCURRENCE (#489) Modified REPEAT VENTILATOR W/IN 30 DAYS (#490) Modified OTHER NON-CT PROCEDURES (#491) Modified PREOP FUNCT. HEALTH STATUS (#492) Modified OTHER CARDIAC PROCEDURES (Y/N) (#502) Modified HEMOGLOBIN A1C (#504) Modified HEMOGLOBIN A1C, DATE (#504.1) Modified ENDOVASCULAR REPAIR (#505) Modified CURRENT SMOKER (CARDIAC) (#510) Modified MAZE PROCEDURE (#512) Modified PRIMARY CAUSE FOR DELAY (#515) Modified CORRECT PATIENT IDENTITY (#600) New PROCEDURE TO BE PERFORMED (#601) New SITE OF PROCEDURE (#602) New VALID CONSENT FORM (#603) New PATIENT POSITION (#604) New MARKED SITE CONFIRMED (#605) New PREOPERATIVE IMAGES CONFIRMED (#606) New CORRECT MED IMPLANTS (#607) New APPRO ANTIBIOTIC PROPHYLAXIS (#608) New APPROPRIATE DVT PROPHYLAXIS (#609) New BLOOD AVAILABILITY (#610) New AVAILABILITY OF SPECIAL EQUIP (#611) New ORIGINAL DESIRED DATE (#612) New D/T OF DESIRED PROCEDURE DATE (#613) New ORIGINAL SCHEDULED DATE (#614) New D/T OF SCHEDULED DATE ENTRY (#615) New DESIRED PROCEDURE DATE (#616) New SCHEDULED DATE (#617) New MALLAMPATI SCALE (#901.1) Modified TRAUMA (#12) of the ANESTHESIA TECHNIQUE sub-file (#130.06) Modified SEPSIS CATEGORY (#7) of the POSTOP OCCURRENCE sub-file (#130.22) Modified CPB STATUS (#8) of the POSTOP OCCURRENCE sub-file (#130.22) Modified DOSE (#1) of the TIME ADM sub-file (#130.34) Modified DOSE (mg) (#1) of the ANESTHESIA AGENTS sub-file (#130.47) Modified DOSE (mg) (#1) of the TEST DOSE sub-file (#130.48) Modified SURGERY SITE PARAMETERS (#133) LATEST CASE WORKLOAD REPORT (#16) Modified VASQIP 30 DAY FOLLOW-UP LETTER (#31) Modified CPT EXCLUSIONS (#137) CPT CODE (#.01) Modified RISK MODEL LAB TEST (#139.2) VASQIP REFERENCE LOW (#3) Modified VASQIP REFERENCE HIGH (#4) Modified SURGERY TRANSPLANT ASSESSMENTS (#139.5) RECIPIENT HLA-A TYPING (#13) Modified RECIPIENT HLA-B TYPING (#14) Modified RECIPIENT HLA-C TYPING (#15) Modified RECIPIENT HLA-BW TYPING (#16) Modified RECIPIENT HLA-DR TYPING (#17) Modified RECIPIENT HLA-DQ TYPING (#18) Modified DONOR HLA-A TYPING (#64) Modified DONOR HLA-B TYPING (#65) Modified DONOR HLA-C TYPING (#66) Modified DONOR HLA-BW TYPING (#67) Modified DONOR HLA-DQ TYPING (#72) Modified DONOR HLA-DR TYPING (#73) Modified POST-TX PROPHYLAXIS - TB (#92) Modified ON VENTILATOR >48 HOURS (#118) Modified CARDIAC ARREST REQ CPR (#119) Modified COMA > 24 HOURS POSTOP (#122) Modified SUPERFICIAL INCISIONAL SSI (#123) Modified DEEP INCISIONAL SSI (#124) Modified SYSTEMIC SEPSIS (#125) Modified NEW MECHANICAL CIRCULATORY (#130) Modified PREOP FUNCTIONAL HEALTH STATUS (#131) Modified C-PEPTIDE AT TIME OF LISTING (#136) Modified REOPERATION FOR BLEEDING (#148) Modified RENAL FAILURE REQ. DIALYSIS (#191) Modified PERIOPERATIVE MI (#192) 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/Mod/Del/Out of Order ----------- ----------- ------------------------ SRO-CHIEF REPORTS menu Modified SROQ MENU menu Out of Order SRO QUARTERLY REPORT run routine Out of Order SROQD run routine Modified SROQADM run routine Modified SROQIDP run routine Out of Order SROQ LIST OPS run routine Out of Order SROQ MISSING DATA run routine Modified SRO ECS COMPLIANCE run routine Out of Order SROMEN-VERF run routine New SROPER menu Modified SROMM run routine Modified SROA MONTHLY WORKLOAD REPORT run routine Modified SROA TRANSMIT ASSESSMENTS run routine Modified SROA LAB TEST EDIT run routine Modified SROA ONE-LINER UPDATE 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 (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- SROMEN-START Input SURGERY (#130) Modified SROMEN-OPER Input SURGERY (#130) Modified SROMEN-OUT Input SURGERY (#130) Modified SRONRPT Input SURGERY (#130) Modified SROMEN-VERF Input SURGERY (#130) New Additional Information: N/A New Service Requests (NSRs): ----------------------------- 20100418 - Modify Non-OR Procedure report in VISTA Surgery package 20100509 - Leading zero (0) omission in anesthesia report Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- CLEVELAND, OH MADISON, WI PHILADELPHIA, PA PITTSBURGH HCS, PA RICHMOND, VA WASHINGTON, DC WHITE RIVER JUNCTION, VT 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.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: Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov 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.va.gov/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- Surgery V. 3.0 User Manual SR_3_UM_R0911.PDF (binary) Surgery V. 3.0 User Manual SR_3_P175_UM_CP.PDF (binary) Change Pages Surgery V. 3.0 Technical Manual/ SR_3_TM_R0911.PDF (binary) Security Guide Surgery V. 3.0 Technical Manual/ SR_3_P175_TM_CP.PDF (binary) Security Guide Change Pages Surgery V. 3.0 Release Notes SR_3_P175_RN.PDF (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ This patch includes pre-installation and post-installation processes within the routines SR175UTL, SR175UT0, SR175UT1, and SR175UT2. - The pre-installation process performs the following actions: o Deletes the existing data from the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) - The post-installation process performs the following actions: o Updates the CPT EXCLUSIONS file (#137) o Inactivates the existing cancellation reasons in the SURGERY CANCELLATION REASON file (#135) o Adds new entries in the SURGERY CANCELLATION REASON file (#135) o Fixes the trailing zeros issue in the DATE OF LAST TRANSMISSION field (#260.1) and the DATE TRANSMITTED field (#260) The routines SR175UTL, SR175UT0, SR175UT1, and SR175UT2 are deleted at the end of patch installation. 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. Pre-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 # (SR*3.0*175): 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 SR*3.0*175. 5. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//', respond YES. 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. Post-Installation Instructions ------------------------------ N/A Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;Surgery;**[Patch List]**;24 Jun 93;Build 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: SR175UT0 Before: n/a After: B36455368 **175** Routine Name: SR175UT1 Before: n/a After: B30957799 **175** Routine Name: SR175UT2 Before: n/a After: B30714963 **175** Routine Name: SR175UTL Before: n/a After: B4527518 **175** Routine Name: SROACLN Before: B10164001 After: B12470987 **38,47,71,95,100,125,142,174,175** Routine Name: SROACOP Before: B23026307 After: B23967302 **38,47,71,88,95,107,100,125, 142,153,160,166,174,175** Routine Name: SROACR1 Before: B22164276 After: B22783448 **38,71,93,95,99,125,153,174,175** Routine Name: SROAOUT Before: B12427409 After: B12427585 **125,135,142,160,174,175** Routine Name: SROAPAS Before: B27566457 After: B28274307 **38,47,81,88,111,112,100,125, 153,166,174,175** Routine Name: SROAPCA Before: B26334620 After: B26280900 **38,47,71,95,125,134,153,160, 174,175** Routine Name: SROAPCA1 Before: B29601369 After: B30466791 **38,63,71,88,95,125,142,153, 166,174,175** Routine Name: SROAPCA2 Before: B18386426 After: B19031580 **38,71,95,125,153,174,175** Routine Name: SROAPCA3 Before: B22852862 After: B23469986 **38,71,95,101,125,160,164,166, 174,175** Routine Name: SROAPIMS Before: B26229539 After: B27220554 **38,46,47,57,71,81,86,100,125, 134,160,175** Routine Name: SROAPM Before: B44670342 After: B44996096 **47,81,111,107,100,125,142, 160,166,174,175** Routine Name: SROATCM Before: B25541535 After: B25780812 **38,55,68,90,93,95,99,125,153, 174,175** Routine Name: SROATCM1 Before: B52450846 After: B52769829 **38,71,79,90,88,93,95,111,125, 135,134,142,153,160,174,175** Routine Name: SROATCM2 Before: B8920384 After: B8932844 **27,38,90,93,125,153,175** Routine Name: SROATM2 Before: B33885599 After: B33810934 **38,39,45,47,57,60,62,68,81, 88,97,129,125,142,153,160,174, 175** Routine Name: SROATM3 Before: B22124588 After: B24191349 **27,38,62,88,97,111,142,153, 174,175** Routine Name: SROATM4 Before: B8737618 After: B9019353 **27,38,62,125,153,175** Routine Name: SROATMNO Before: B28540920 After: B31693935 **27,38,47,62,68,79,83,81,88, 93,95,97,129,125,142,153,160, 166,174,175** Routine Name: SROAUTL4 Before: B50279210 After: B50853930 **38,71,95,125,153,160,164,166, 174,175** Routine Name: SROAUTLC Before: B27833831 After: B27857306 **38,71,90,88,95,97,102,96,125, 153,163,164,166,174,175** Routine Name: SROCMP Before: B26995986 After: B30406339 **22,26,29,38,50,143,153,175** Routine Name: SROCMP1 Before: B17735351 After: B17757697 **38,50,153,175** Routine Name: SROCMP2 Before: B4362143 After: B4970576 **38,50,153,175** Routine Name: SROESNR0 Before: B30368515 After: B35434963 **100,129,147,153,175** Routine Name: SROFILE Before: B17713424 After: B16600785 **48,41,88,100,175** Routine Name: SROMENU Before: B18420095 After: B21565979 **52,67,69,104,107,100,134,175** Routine Name: SROMOR Before: B9684104 After: B13955435 **38,77,50,175** Routine Name: SRONEW Before: B31106190 After: B34988864 **3,23,26,30,47,58,48,67,107, 100,144,175** Routine Name: SRONIN Before: B72477973 After: B76412764 **68,50,100,129,134,153,157,175** Routine Name: SRONITE Before: B3688042 After: B3524520 **47,58,62,41,86,142,167,175** Routine Name: SRONOR2 Before: B14419116 After: B17794451 **50,175** Routine Name: SRONOR3 Before: B14102313 After: B17276324 **50,175** Routine Name: SRONOR4 Before: B14032356 After: B17388281 **50,175** Routine Name: SRONOR5 Before: B13758925 After: B17096598 **50,175** Routine Name: SRONOR7 Before: B14442036 After: B17816972 **50,175** Routine Name: SRONOR8 Before: B14083727 After: B17438076 **50,175** Routine Name: SRONRPT0 Before: B53136625 After: B63328000 **100,129,147,153,157,175** Routine Name: SROQN Before: B29511817 After: B28925024 **62,77,92,129,142,175** Routine Name: SROUTC Before: B17156517 After: B17914519 **125,135,153,174,175** Routine Name: SROUTL1 Before: B3751692 After: B3817248 **134,175** Routine Name: SROWC1 Before: B15899183 After: B16244877 **50,95,175** Routine Name: SROWC3 Before: B8704598 After: B8954546 **50,175** Routine Name: SROXR4 Before: B8346858 After: B8526821 **62,83,100,153,166,174,175** Routine Name: SRSCAN0 Before: B15578926 After: B16697395 **34,42,67,103,107,114,100,144,175** Routine Name: SRSCHUN Before: B27047120 After: B30666407 **3,67,68,88,103,100,144,158,175** Routine Name: SRSDT Before: B8368565 After: B8539486 **3,16,34,67,77,103,114,100,175** Routine Name: SRSRQST Before: B26274386 After: B26866519 **3,58,67,88,103,105,100,144,175** Routine Name: SRSUPC Before: B7743262 After: B8595921 **100,175** Routine Name: SRTOVRF Before: n/a After: B3588832 **175** Routine Name: SRTPCOM Before: B18103801 After: B18255698 **167,175** Routine Name: SRTPDONR Before: B23233706 After: B23255580 **167,175** Routine Name: SRTPHRT1 Before: B18786669 After: B20289016 **167,175** Routine Name: SRTPHRT2 Before: B14725252 After: B14749738 **167,175** Routine Name: SRTPHRT6 Before: B20904549 After: B20925868 **167,175** Routine Name: SRTPKID2 Before: B11603420 After: B11622344 **167,175** Routine Name: SRTPKID3 Before: B22433747 After: B22087040 **167,175** Routine Name: SRTPLIV3 Before: B11733254 After: B11751575 **167,175** Routine Name: SRTPLIV7 Before: B22368497 After: B22391567 **167,175** Routine Name: SRTPLUN2 Before: B12320123 After: B12338846 **167,175** Routine Name: SRTPLUN5 Before: B22433375 After: B22456445 **167,175** Routine Name: SRTPRH Before: B14194800 After: B15224993 **167,175** Routine Name: SRTPRK1 Before: B17033338 After: B17028757 **167,175** Routine Name: SRTPRLI1 Before: B12403784 After: B12413526 **167,175** Routine Name: SRTPRLI2 Before: B16086213 After: B16111293 **167,175** Routine Name: SRTPRLU Before: B13790573 After: B13790018 **167,175** Routine Name: SRTPTM1 Before: B29406490 After: B29740948 **167,175** Routine Name: SRTPTM2 Before: B2641095 After: B2860927 **167,175** Routine Name: SRTPUTL Before: B14301733 After: B14227738 **167,175** ============================================================================= User Information: Entered By : ALSAHHAR,SAMI Date Entered : NOV 30, 2010 Completed By: CHIPMAN,HONEY Date Completed: AUG 17, 2011 Released By : SWOPE,PATTI L Date Released : AUG 22, 2011 ============================================================================= Packman Mail Message: ===================== $END TXT