$TXT Created by MONOSKY,ALAN at CMAI.FO-BIRM.MED.VA.GOV (KIDS) on Monday, 04/09/12 at 11:42 ============================================================================= Run Date: JUN 07, 2012 Designation: SR*3*176 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #169 Status: Released Compliance Date: JUL 07, 2012 ============================================================================= Associated patches: (v)SR*3*175 <<= must be installed BEFORE `SR*3*176' Subject: SURGERY UPDATES-VASQIP INCREMENT 2 Category: - Routine - Data Dictionary - Input Template - Enhancement (Mandatory) - Other Description: ============ In support of the VA Surgery Quality Improvement Program (VASQIP), this patch provides the VASQIP Increment 2 update to the Veterans Health Information Systems and Technology Architecture (VistA) Surgery package. 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. 1. Surgery Cancellation Modifications a. Surgery cancellation functionality is modified so that any surgery case that is placed on the surgery schedule and then cancelled will be retained in the SURGERY file (#130) as a cancelled case regardless of when the case is cancelled. Also, a cancellation reason is required for every cancellation. Any scheduled case that is cancelled will be counted as a cancellation on the Report of Cancellations generated by the Report of Cancellations [SROCAN] option. b. The Report of Cancellations, generated by the Report of Cancellations [SROCAN] option, is modified to group patient data together within specialty so that all cases for a single patient will be shown together. The report will also order based on operations so the same operation descriptions will show next to each other for the same patient. 2. Miscellaneous Additions to Risk Assessment Transmissions a. The name of the operating room as defined in the HOSPITAL LOCATION file (#44) is added to each cardiac and non-cardiac risk assessment transmission and to each 1-liner case transmission. b. The following four fields in the SURGERY file (#130) are added to each 1-liner case transmission and to the list of items checked for by the List of 1-Liner Cases Missing Information which is one of the reports generated by the List of Surgery Risk Assessments [SROA ASSESSMENT LIST] option: - TIME OPERATION BEGAN (#.22) - TIME OPERATION ENDS (#.23) - TIME PAT IN OR (#.205) - TIME PAT OUT OR (#.232) 3. Positive Drug Screening A new POSITIVE DRUG SCREENING field (#618) is added to the SURGERY file (#130). This field is added to the Preoperative Information (Enter/Edit)[SROA PREOP DATA] option, the Clinical Information (Enter/Edit)[SROA CLINICAL INFORMATION] option and the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option. This field is also added to the cardiac and non-cardiac risk assessment transmissions and is added to the list of missing items functionality. 4. Consolidation of Shared Cardiac, Non-Cardiac and Transplant Fields This patch updates various fields in the SURGERY file (#130) and in the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) as well as various occurrence category descriptions in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) so that common items share common definitions. This patch also replaces various fields with new fields in order to enhance and refine certain data elements that are in common with cardiac and non-cardiac risk assessments and transplant assessments. All the associated data input options, assessment printouts and transmissions are updated accordingly. The complete list of updated fields, new fields and replaced fields is in the patch release notes. 5. Add Serial Number for Prosthesis Items - Two new fields, LOT NUMBER (#11) and SERIAL NUMBER (#12) are added to the PROSTHESIS INSTALLED multiple field (#.47, sub-file #130.01) to replace the existing LOT/SERIAL NO field (#2.5). The Operation [SROMEN-OP] option and the Nurse Intraoperative Report [SRONRPT] option are updated to allow editing and display of these two new fields. - LOT NUMBER field (#8) and SERIAL NUMBER field (#9) are added to the PROSTHESIS file (#131.9). The Update Site Configurable Files [SR UPDATE FILES] option is modified to allow editing of these new fields and to disallow editing of the LOT/SERIAL NO field (#4) and the STERILE CODE field (#3). 6. Flash Sterilization Six new fields are added to the SURGERY file (#130) to document the number of episodes of each type of flash sterilization that happened for an operation: - FLASH-CONTAMINATION (#619) - FLASH-SPD/OR MGT ISSUE (#620) - FLASH-EMERGENCY CASE (#621) - FLASH-NO BETTER OPTION (#622) - FLASH-LOANER INSTRUMENT (#623) - FLASH-DECONTAMINATION (#624) The Post Operation [SROMEN-POST] option and the Nurse Intraoperative Report [SRONRPT] option are updated to allow editing and display of these two new fields. 7. 30-Day Readmission This patch creates a transmission report that lists inpatient surgery cases which were followed by the patient being readmitted within 30 days of discharge. This report is run by the Surgery Nightly Cleanup and Updates [SRTASK-NIGHT] option and will transmit to the VASQIP database automatically each quarter. 8. Update ICD9 to ICD References to ICD9 are replaced with ICD in the following menu options: - CPT/ICD9 Coding Menu [SRCODING MENU] - CPT/ICD9 Update/Verify Menu [SRCODING UPDATE/VERIFY MENU] - Update/verify Procedure/Diagnosis Codes [SRCODING EDIT] 9. Remove Quarterly Report References a. References to "Quarterly Report" are removed from the Deaths Within 30 Days of Surgery [SROQD] option. b. The routines that provided the Surgery Quarterly Report functionality are removed. Those routines are SROQ1, SROQ1A, SROQ2, SROQM, SROQM0, SROQM1 and SROQT. 10. Add Superficial Incisional SSI to Cardiac Outcomes The SUPERFICIAL INCISIONAL SSI field (#248) in the SURGERY file (#130) is added to the Outcome Information (Enter/Edit) [SROA CARDIAC-OUTCOMES] option, the cardiac assessment transmission and to the cardiac assessment printout. 11. The following routines associated with obsolete functionality are removed: SROAC, SROAC1, SROAC2, SROACCR, SROACRC, SROACS, SROASWAP, SROASWP, SROASWP0, SROASWP1, SROASWP2, SROAWSP3, SROASWPD, SRSLOOK, and SRSLOOK1. 12. This patch fixes the issue reported by Remedy ticket #528445, where the PREOPERATIVE IMAGES CONFIRMED field (#606) displays the same data as MARKED SITE CONFIRMED field (#605). 13. This patch updates the CPT EXCLUSIONS file (#137) with data for fiscal year 2012. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Mod/Del ------------------ ------------------- ----------- SURGERY (#130) PREVIOUSLY SCHEDULED CASE (#78) New RESCHEDULED CASE (#79) New *CURRENT SMOKER (#202) Obsolete FUNCTIONAL HEALTH STATUS (#240) Modified SUPERFICIAL INCISIONAL SSI (#248) Modified ACUTE RENAL FAILURE (#254) Modified STROKE/CVA (#256) Modified MYOCARDIAL INFARCTION (#258) Modified *CEREBRAL VASCULAR DISEASE (#264) Obsolete *HISTORY OF TIA'S (#334) Obsolete *CVA/STROKE WITH NEURO DEFICIT (#335) Obsolete *CVA/STROKE - NO NEURO DEFICIT (#336) Obsolete *DIABETES (#346) Obsolete *PERIOPERATIVE MI (#385) Obsolete *STROKE (#390) Obsolete *DIABETES (CARDIAC) (#475) Obsolete *CURRENT SMOKER (CARDIAC) (#510) Obsolete TOBACCO USE (#517) New TOBACCO USE TIMEFRAME (#518) New DIABETES MELLITUS CHRONIC (#519) New DIABETES MELLITUS PREOP MGMT (#520) New CVD REPAIR/OBSTRUCTION (#521) New HISTORY OF CVD (#522) New POSITIVE DRUG SCREENING (#618) New FLASH-CONTAMINATION (#619) New FLASH-SPD/OR MGT ISSUE (#620) New FLASH-EMERGENCY CASE (#621) New FLASH-NO BETTER OPTION (#622) New FLASH-LOANER INSTRUMENT (#623) New FLASH-DECONTAMINATION (#624) New LOT NUMBER (#11) of the PROSTHESIS INSTALLED sub-file (#130.01) New SERIAL NUMBER (#12) of the PROSTHESIS INSTALLED sub-file (#130.01) New STROKE/CVA DURATION (#9) of the POSTOP OCCURRENCE sub-file (#130.22) New PROSTHESIS (#131.9) LOT NUMBER (#8) New SERIAL NUMBER (#9) New SURGERY SITE PARAMETERS (#133) LATEST 30-READMISSION REPORT (#8) New SURGERY TRANSPLANT ASSESSMENTS (#139.5) STROKE/CVA (#121) New *DIABETES MELLITUS (#147) Obsolete *CURRENT SMOKER (#171) Obsolete *CEREBRAL VASCULAR DISEASE (#174) Obsolete RENAL FAILURE REQ. DIALYSIS (#191) Modified PERIOPERATIVE MI (#192) Modified TOBACCO USE (#198) New TOBACCO USE TIMEFRAME (#199) New DIABETES MELLITUS CHRONIC (#200) New DIABETES MELLITUS PREOP MGMT (#201) New CVD REPAIR/OBSTRUCTION (#202) New HISTORY OF CVD (#203) New 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 ----------- ----------- ------------------------ SRCODING MENU menu Modified SRCODING UPDATE/VERIFY MENU menu Modified SRCODING EDIT run routine Modified SROQD 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-POST Input SURGERY (#130) Modified SRONRPT Input SURGERY (#130) Modified SROMEN-OPER Input SURGERY (#130) Modified Additional Information: N/A New Service Requests (NSRs): ----------------------------- N/A Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- HD0000000528445 - PREOPERATIVE IMAGES CONFIRMED field displays incorrectly in the Nurse Intraoperative Report. Test Sites: ----------- CLEVELAND, OH MARTINSBURG, WV TENNESSEE VALLEY HCS, TN PALO ALTO HCS, CA PHILADELPHIA, PA PITTSBURGH HCS, PA 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_R0312.PDF (binary) Surgery V. 3.0 User Manual SR_3_P176_UM_CP.PDF (binary) Change Pages Surgery V. 3.0 Technical Manual/ SR_3_TM_R0312.PDF (binary) Security Guide Surgery V. 3.0 Technical Manual/ SR_3_P176_TM_CP.PDF (binary) Security Guide Change Pages Surgery V. 3.0 Release Notes SR_3_P176_RN.PDF (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ This patch includes pre-installation process within the routines SR176UTL. - The pre-installation process performs the following actions: o Deletes the existing data from the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) o Sets LATEST 30-READMISSION REPORT field (#8) in the SURGERY SITE PARAMETERS file (#133) to null o Deletes the existing data dictionary for FUNCTIONAL HEALTH STATUS field (#240) - The routines SR176UTL, SR176UT0, SR176UT1 and SR176UT2 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*176): 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*176. 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. 8. If prompted "Delay Install (Minutes): (0 - 60): 0// respond 0. 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 8 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: SR176UT0 Before: n/a After: B69974019 **176** Routine Name: SR176UT1 Before: n/a After: B70158350 **176** Routine Name: SR176UT2 Before: n/a After: B70899048 **176** Routine Name: SR176UTL Before: n/a After: B35560007 **176** Routine Name: SROAC Before: B10088315 After: Delete Routine Name: SROAC1 Before: B1183863 After: Delete Routine Name: SROAC2 Before: B12537501 After: Delete Routine Name: SROACCR Before: B12939133 After: Delete Routine Name: SROACL1 Before: B27741852 After: B32293061 **38,71,95,125,153,160,174,176** Routine Name: SROACL2 Before: B3904594 After: B3905416 **125,160,176** Routine Name: SROACLN Before: B12470987 After: B12597200 **38,47,71,95,100,125,142,174, 175,176** Routine Name: SROACRC Before: B9447857 After: Delete Routine Name: SROACS Before: B21480394 After: Delete Routine Name: SROALMN Before: B24672211 After: B24842259 **153,160,176** Routine Name: SROAOUT Before: B12427585 After: B16161579 **125,135,142,160,174,175,176** Routine Name: SROAPCA Before: B26280900 After: B30319092 **38,47,71,95,125,134,153,160, 174,175,176** Routine Name: SROAPCA3 Before: B23469986 After: B26346165 **38,71,95,101,125,160,164,166, 174,175,176** Routine Name: SROAPCA4 Before: B15348981 After: B15333948 **95,125,153,174,176** Routine Name: SROAPRE1 Before: B10006731 After: B13792714 **38,47,125,135,141,166,174,176** Routine Name: SROAPRE2 Before: B8926868 After: B9148135 **38,47,125,153,166,176** Routine Name: SROAPRT1 Before: B14081364 After: B17263679 **38,47,125,153,166,174,176** Routine Name: SROAPRT2 Before: B10962875 After: B11792393 **38,125,137,153,160,166,176** Routine Name: SROAPRT7 Before: B29848560 After: B30682535 **38,47,57,60,125,160,176** Routine Name: SROAPS1 Before: B23960917 After: B27027149 **38,47,125,153,166,174,176** Routine Name: SROAPS2 Before: B16963957 After: B17240705 **38,47,125,153,160,166,176** Routine Name: SROASWAP Before: B10592308 After: Delete Routine Name: SROASWP Before: B20563070 After: Delete Routine Name: SROASWP0 Before: B9278456 After: Delete Routine Name: SROASWP1 Before: B6149954 After: Delete Routine Name: SROASWP2 Before: B17199213 After: Delete Routine Name: SROASWP3 Before: B25581534 After: Delete Routine Name: SROASWPD Before: B3278402 After: Delete Routine Name: SROATCM1 Before: B52769829 After: B57561203 **38,71,79,90,88,93,95,111,125, 135,134,142,153,160,174,175, 176** Routine Name: SROATM1 Before: B25037601 After: B25818950 **27,38,47,60,62,81,88,93,95, 125,153,160,166,174,176** Routine Name: SROATM2 Before: B33810934 After: B35035640 **38,39,45,47,57,60,62,68,81, 88,97,129,125,142,153,160,174, 175,176** Routine Name: SROATMNO Before: B31693935 After: B36435737 **27,38,47,62,68,79,83,81,88, 93,95,97,129,125,142,153,160, 166,174,175,176** Routine Name: SROAUTL Before: B41192631 After: B41315079 **38,46,47,63,81,88,95,112,100, 125,134,142,153,160,166,174, 176** Routine Name: SROAUTL0 Before: B19393426 After: B21141152 **38,47,57,60,61,63,81,125,153, 160,174,176** Routine Name: SROAUTL1 Before: B17300696 After: B19378590 **38,47,81,125,153,160,166,174,176** Routine Name: SROAUTL2 Before: B34551023 After: B35937353 **38,47,63,88,125,153,160,176** Routine Name: SROAUTL3 Before: B13024362 After: B13680381 **38,47,63,77,142,163,166,176** Routine Name: SROAUTL4 Before: B50853930 After: B55709470 **38,71,95,125,153,160,164,166, 174,175,176** Routine Name: SROAUTLC Before: B27857306 After: B28000682 **38,71,90,88,95,97,102,96,125, 153,163,164,166,174,175,176** Routine Name: SROCAN0 Before: B15035764 After: B16620958 **14,94,176** Routine Name: SROCCAT Before: B17047332 After: B16992620 **38,47,95,138,153,160,174,176** Routine Name: SROCMPED Before: B29267321 After: B34021331 **26,38,47,125,153,170,176** Routine Name: SROESNR0 Before: B35434963 After: B39978191 **100,129,147,153,175,176** Routine Name: SROESNR1 Before: B41003395 After: B41160518 **100,143,157,176** Routine Name: SROFILE Before: B16600785 After: B16246959 **48,41,88,100,175,176** Routine Name: SRONEW Before: B34988864 After: B35630421 **3,23,26,30,47,58,48,67,107, 100,144,175,176** Routine Name: SRONIN Before: B76412764 After: B79594372 **68,50,100,129,134,153,157,175,176** Routine Name: SRONITE Before: B3524520 After: B3746041 **47,58,62,41,86,142,167,175,176** Routine Name: SRONRPT0 Before: B63328000 After: B63289001 **100,129,147,153,157,175,176** Routine Name: SRONRPT1 Before: B25866896 After: B27292461 **100,143,157,176** Routine Name: SRONRPT3 Before: B22358940 After: B26846038 **100,176** Routine Name: SROP Before: B20468894 After: B21464405 **7,44,58,64,104,176** Routine Name: SROQ Before: B30921601 After: B206693 **62,70,95,176** Routine Name: SROQ0 Before: B16293917 After: B2820292 **62,70,77,50,95,123,129,153, 174,176** Routine Name: SROQ0A Before: B15549352 After: B1380442 **37,38,62,70,88,103,129,142,176** Routine Name: SROQ1 Before: B34169984 After: Delete Routine Name: SROQ1A Before: B31612444 After: Delete Routine Name: SROQ2 Before: B33212600 After: Delete Routine Name: SROQ30D Before: n/a After: B25737238 **176** Routine Name: SROQD Before: B33847612 After: B31124608 **62,77,50,142,176** Routine Name: SROQM Before: B18303106 After: Delete Routine Name: SROQM0 Before: B18787744 After: Delete Routine Name: SROQM1 Before: B26795235 After: Delete Routine Name: SROQT Before: B35140873 After: Delete Routine Name: SROUTC Before: B17914519 After: B20577259 **125,135,153,174,175,176** Routine Name: SROXR4 Before: B8526821 After: B8706222 **62,83,100,153,166,174,175,176** Routine Name: SRSCAN0 Before: B16697395 After: B17191683 **34,42,67,103,107,114,100,144, 175,176** Routine Name: SRSCAN2 Before: B12532535 After: B12903373 **3,16,34,67,77,88,92,103,144,176** Routine Name: SRSLOOK Before: B12047687 After: Delete Routine Name: SRSLOOK1 Before: B12030802 After: Delete Routine Name: SRTPHRT3 Before: B25367820 After: B29966365 **167,176** Routine Name: SRTPHRT5 Before: B16172956 After: B16458020 **167,176** Routine Name: SRTPKID3 Before: B22087040 After: B22920528 **167,175,176** Routine Name: SRTPKID4 Before: B14562902 After: B14842762 **167,176** Routine Name: SRTPLIV4 Before: B17918147 After: B18271645 **167,176** Routine Name: SRTPLIV6 Before: B14792659 After: B15125679 **167,176** Routine Name: SRTPLUN3 Before: B23312087 After: B23740054 **167,176** Routine Name: SRTPRH1 Before: B16256742 After: B19779584 **167,176** Routine Name: SRTPRH2 Before: B10583280 After: B10615308 **167,176** Routine Name: SRTPRK1 Before: B17028757 After: B17385598 **167,175,176** Routine Name: SRTPRLI1 Before: B12413526 After: B12730267 **167,175,176** Routine Name: SRTPRLU1 Before: B9976767 After: B10274745 **167,176** Routine Name: SRTPTM1 Before: B29740948 After: B30165729 **167,175,176** Routine Name: SRTPUTL Before: B14227738 After: B17836670 **167,175,176** Routine Name: SRTPUTL4 Before: B65352553 After: B68822462 **167,176** Routine Name: SRTPUTLC Before: B15420115 After: B15681866 **167,176** ============================================================================= User Information: Entered By : ALSAHHAR,SAMI Date Entered : MAY 26, 2011 Completed By: SERVICE,JOHN Date Completed: JUN 07, 2012 Released By : CONSENTINO,ALBERT Date Released : JUN 07, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT