$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Wednesday, 08/06/14 at 09:26 ============================================================================= Run Date: AUG 15, 2014 Designation: SR*3*177 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #172 Status: Released Compliance Date: AUG 29, 2014 ============================================================================= Associated patches: (v)SR*3*154 <<= must be installed BEFORE `SR*3*177' (v)SR*3*159 <<= must be installed BEFORE `SR*3*177' (v)SR*3*161 <<= must be installed BEFORE `SR*3*177' (v)LEX*2*80 <<= must be installed BEFORE `SR*3*177' (v)SR*3*176 <<= must be installed BEFORE `SR*3*177' (v)ICD*18*57 <<= must be installed BEFORE `SR*3*177' Subject: SURGERY ICD-10 CLASS 1 REMEDIATION Category: - Routine - Input Template - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ IMPORTANT INFORMATION Please read the Overview Guide (ICD-10_Production_Overview_Guide_Groups_3_4.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 ICD-10 Activation 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 only noticeable difference users may see will occur when a specific ICD diagnosis code descriptor changes based on the date of operation for the case. Patch Components ================ Files & Fields Associated: File Name (Number) Field Name (Number) New/Mod/Del ------------------ ------------------- ----------- SURGERY (#130) PRIN PRE-OP ICD DIAGNOSIS CODE (#32.5) Modified PLANNED PRIN DIAGNOSIS CODE (#66) Modified CODING VERIFIER (#69) Modified OTHER RESPIRATORY OCCURRENCE (#253) Modified OTHER URINARY TRACT OCCURRENCE (#286) Modified OTHER CNS OCCURRENCE (#343) Modified OTHER CARDIAC OCCURRENCE (#344) Modified OTHER OCCURRENCES (ICD) (#392) Modified OTHER WOUND OCCURRENCE (#489) Modified ICD ON NURSE REPORT (#1006) Modified INTRAOPERATIVE OCCURRENCES (sub-file #130.13) ICD DIAGNOSIS CODE (#4) Modified OTHER PREOP DIAGNOSIS (sub-file #130.17) ICD DIAGNOSIS CODE (#3) Modified OTHER POSTOP DIAGS (sub-file #130.18) PLANNED ICD DIAGNOSIS CODE (#3) Modified POSTOP OCCURRENCE (sub-file #130.22) ICD DIAGNOSIS CODE (#6) Modified SURGERY SITE PARAMETERS (#133) ICD ON NURSE INTRAOP (#39) Modified SURGERY PROCEDURE/DIAGNOSIS CODES (#136) PRIN POSTOP DIAGNOSIS CODE (#.03) Modified PRIN ASSOCIATED DIAGNOSES (sub-file #136.02) Modified OTHER POSTOP DIAGNOSIS CODES (sub-file #136.04) Modified OTHER ASSOCIATED DIAGNOSES (sub-file #136.32) Modified ICD SEARCH API (#130.4) New NUMBER (#.001) New APPLICATION NAME (#.01) New CODING SYSTEM (#.02) New TYPE (#.04) New OWNER PACKAGE (#.05) New MUMPS CODE TO EXECUTE (#1) 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 ----------- ----------- ------------------------ N/A 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/Mod/Del ------------- ---- ------------------ ----------- SRSRES1 Input SURGERY (#130) Modified SRSRES2 Input SURGERY (#130) Modified SRSCHED-UNREQUESTED Input SURGERY (#130) Modified SREQUEST Input SURGERY (#130) Modified SRSCHED-UNREQUESTED-ICD10 Input SURGERY (#130) New SREQUEST-ICD10 Input SURGERY (#130) New Additional Information: N/A New Service Requests (NSRs): ----------------------------- NSR - Request id: 20070902 ICD-10-CM Conversion 9/5/2007 http://vista.domain.ext/nsrd/ViewITRequest.asp?RequestID=20070902 Patient Safety Issues (PSIs): ------------------------------ N/A Remedy Ticket(s) & Overviews: ----------------------------- N/A Test Sites: ----------- John D. Dingell VA Medical Center, Detroit, MI Boise VA Medical Center, Boise, ID Captain James A. Lovell Federal Health Care Center, North Chicago, IL VA Eastern Colorado Health Care System, Denver, CO Michael E. DeBakey VA Medical Center, Houston, TX 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.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 VA Software Documentation Library at: http://www4.domain.ext/vdl/ File Description File Name FTP Mode -------------------------------------------------------------------------- Surgery V. 3.0 User Manual SR_3_UM_R0614.PDF (binary) Surgery V. 3.0 User Manual SR_3_P177_UM_CP.PDF (binary) Change Pages Surgery V. 3.0 Technical Manual/ SR_3_TM_R0614.PDF (binary) Security Guide Surgery V. 3.0 Technical Manual/ SR_3_P177_TM_CP.PDF (binary) Security Guide Change Pages Surgery V. 3.0 Release Notes ICD-10_RN_SR_3_177.PDF (binary) Production Overview Guide ICD-10_Production_Overview_ Guide_Groups_3_4.pdf (binary) Patch Installation: Pre/Post Installation Overview ------------------------------ N/A Pre-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 five minutes. 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*177): 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 DDs 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, 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. 4. From the Installation Menu, select the Install Package(s) option and choose the patch to install. Enter SR*3.0*177. 5. If 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 ------------------------------ 1. Cleanup - The Pre-Install routine SR3P177 can be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. Routine Information: ==================== The second line of each of these routines now looks like: ;;3.0;Surgery;**[Patch List]**;24 Jun 93;Build 89 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: SR3P177 Before: n/a After: B1411381 **177** Routine Name: SRCUSS Before: B17905369 After: B21173871 **66,108,177** Routine Name: SRCUSS1 Before: B20239510 After: B23008051 **14,31,48,66,108,177** Routine Name: SRHLDW1 Before: B4690924 After: B4699482 **41,177** Routine Name: SRHLUO Before: B25491414 After: B28555904 **41,127,177** Routine Name: SRHLUO3 Before: B25089400 After: B31162986 **41,88,127,151,177** Routine Name: SRHLVUO Before: B24398625 After: B24970128 **41,127,177** Routine Name: SROACMP Before: B34040143 After: B34094394 **47,50,127,143,166,177** Routine Name: SROACOD Before: B16578804 After: B16693883 **146,152,177** Routine Name: SROACOM1 Before: B19771311 After: B19579953 **166,174,177** Routine Name: SROADX1 Before: B93981084 After: B94091442 **119,150,177** Routine Name: SROALNO Before: B15168639 After: B15400695 **104,177** Routine Name: SROAOP1 Before: B11582758 After: B11530418 **38,47,63,81,88,95,97,125,142, 153,160,177** Routine Name: SROAOSET Before: B3998437 After: B4150779 **127,177** Routine Name: SROAPCA4 Before: B15333948 After: B16258498 **95,125,153,174,176,177** Routine Name: SROAPRT6 Before: B5989513 After: B6019028 **38,47,88,127,156,160,177** Routine Name: SROAPRT7 Before: B30682535 After: B30831500 **38,47,57,60,125,160,176,177** Routine Name: SROATCM Before: B25780812 After: B25541565 **38,55,68,90,93,95,99,125,153, 174,175,177** Routine Name: SROATCM1 Before: B57561203 After: B58032375 **38,71,79,90,88,93,95,111,125, 135,134,142,153,160,174,175, 176,177** Routine Name: SROATCM3 Before: B12876503 After: B13088442 **125,135,153,164,166,174,177** Routine Name: SROATM1 Before: B25818950 After: B26038317 **27,38,47,60,62,81,88,93,95, 125,153,160,166,174,176,177** Routine Name: SROATM2 Before: B35035640 After: B35137516 **38,39,45,47,57,60,62,68,81, 88,97,129,125,142,153,160,174, 175,176,177** Routine Name: SROATMNO Before: B36435737 After: B36769071 **27,38,47,62,68,79,83,81,88, 93,95,97,129,125,142,153,160, 166,174,175,176,177** Routine Name: SROAUTL0 Before: B21141152 After: B21283908 **38,47,57,60,61,63,81,125,153, 160,174,176,177** Routine Name: SROAUTL2 Before: B35937353 After: B35918406 **38,47,63,88,125,153,160,176,177** Routine Name: SROCD0 Before: B61009295 After: B65638166 **142,152,159,177** Routine Name: SROCD2 Before: B22859343 After: B23989346 **142,177** Routine Name: SROCD4 Before: B27765963 After: B20829958 **142,177** Routine Name: SROCDX Before: B21645937 After: B22343423 **142,177** Routine Name: SROCDX1 Before: B25247822 After: B25379397 **142,161,177** Routine Name: SROCMPED Before: B34021331 After: B36854349 **26,38,47,125,153,170,176,177** Routine Name: SROCMPS Before: B17061652 After: B17944214 **14,32,38,95,102,116,125,142,177** Routine Name: SROCOMP Before: B18025907 After: B18186198 **37,38,88,129,177** Routine Name: SROCVER Before: B31713915 After: B37320749 **116,177** Routine Name: SROESAD1 Before: B34222417 After: B34060780 **100,127,177** Routine Name: SROESNR2 Before: B34159372 After: B33988113 **100,127,177** Routine Name: SROICD Before: B818894 After: B55952758 **116,127,177** Routine Name: SROICDGT Before: n/a After: B42226925 **177** Routine Name: SROICDL Before: n/a After: B34675259 **177** Routine Name: SROMENU Before: B21565979 After: B24367683 **52,67,69,104,107,100,134,175,177** Routine Name: SRONEW Before: B35630421 After: B36010808 **3,23,26,30,47,58,48,67,107, 100,144,175,176,177** Routine Name: SRONOP Before: B25370271 After: B25659962 **44,58,64,67,70,100,177** Routine Name: SRONOP1 Before: B16584848 After: B16803692 **44,56,58,48,67,70,88,100,142,177** Routine Name: SRONP2 Before: B17607439 After: B17930608 **132,142,177** Routine Name: SROP Before: B21464405 After: B21934166 **7,44,58,64,104,176,177** Routine Name: SROPCE0A Before: B42322529 After: B59645915 **58,62,69,77,50,86,88,127,142,177** Routine Name: SROPCE1 Before: B42506082 After: B42495285 **58,105,119,150,152,159,177** Routine Name: SROPER Before: B12586025 After: B13069473 **37,107,100,177** Routine Name: SROVER Before: B25619011 After: B25778110 **7,34,38,86,88,100,119,177** Routine Name: SROVER2 Before: B26717453 After: B26606963 **86,88,100,127,119,177** Routine Name: SROVER3 Before: B37508747 After: B37536905 **86,88,127,119,152,159,177** Routine Name: SRSCHC2 Before: B1775654 After: B1652836 **67,107,177** Routine Name: SRSCHUN Before: B30666407 After: B32328292 **3,67,68,88,103,100,144,158, 175,177** Routine Name: SRSCHUN1 Before: B9878171 After: B10221743 **34,47,58,67,107,177** Routine Name: SRSRQST Before: B26866519 After: B28426612 **3,58,67,88,103,105,100,144, 175,177** Routine Name: SRSRQST1 Before: B10838483 After: B11754122 **12,34,37,47,58,67,107,177** Routine Name: SRSUP1 Before: B26118535 After: B26965296 **7,16,19,47,58,67,77,50,93, 107,114,100,131,177** Routine Name: SRSUPRQ Before: B28797469 After: B28414875 **7,47,58,67,107,114,100,154,177** Routine list of preceding patches: 108, 131, 151, 154, 159, 161, 176 ============================================================================= User Information: Entered By : Date Entered : OCT 14, 2011 Completed By: Date Completed: AUG 13, 2014 Released By : Date Released : AUG 15, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT