$TXT Created by at DEVESS.DOMAIN.EXT (KIDS) on Thursday, 02/27/14 at 01:34 ============================================================================= Run Date: AUG 29, 2014 Designation: YS*5.01*107 Package : YS - MENTAL HEALTH Priority: Mandatory Version : 5.01 SEQ #92 Status: Released Compliance Date: SEP 12, 2014 ============================================================================= Associated patches: (v)YS*5.01*60 <<= must be installed BEFORE `YS*5.01*107' (v)LEX*2*80 <<= must be installed BEFORE `YS*5.01*107' (v)ICD*18*57 <<= must be installed BEFORE `YS*5.01*107' Subject: ICD-10 REMEDIATION MENTAL HEALTH Category: - Enhancement (Mandatory) - Data Dictionary - Routine - 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 ICD10 Activation Date 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 Mental Health module provides computer support for both clinical and administrative patient care activities associated with mental health care. ICD codes are supported within this clinical database package. This patch remediates the presentation and storage of Mental Health data after the ICD-10 Activation Date. To allow for entry of both ICD-9 and ICD-10 code sets, the Mental Health M code logic has been modified to ask for the DATE/TIME OF DIAGNOSIS before the DSM DIAGNOSIS prompt. When the DATE/TIME OF DIAGNOSIS is before the ICD-10 Activation Date, the user is presented with an Enter ICD-9 Diagnosis prompt. Otherwise if this date is on or after the ICD-10 Activation Date, the user is presented with an Enter ICD-10 Diagnosis prompt. If the user is presented with a prompt to enter an ICD-10 Diagnosis, the new ICD-10 Diagnosis Search Functionality is available. The Print Diagnoses Sort by Diagnosis and Print DXLS History reports have both been modified to also display ICD10 codes. Integration Control Registration (ICR #5924) was created to update the DESCRIPTION for the DIAGNOSTIC RESULTS - MENTAL HEALTH File (#627.8) to change the occurrences of 'ICD9' to 'ICD DESCRIPTION.' ICR #5924 is a private agreement with FileMan as the custodial package and Mental Health as the subscribing package. Patch Components ================ Files & Fields Associated: File Name (#) Field Name (#) New/Modified/Deleted ------------- -------------- -------------------- DIAGNOSTIC RESULTS - MENTAL HEALTH File DIAGNOSIS (#1) Modified (#627.8) DXLS (#10) 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 ----------- ---- -------------------- YSDIAGE Run routine Modified YSDIAGP-DX Run routine Modified YSDIAGP-DXLS Run routine Modified YSSR ENTRY Run routine Modified Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- YSD 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: ----------- VA Central Western Massachusetts Healthcare System, Northampton, MA Minneapolis VA Healthcare System, Minneapolis, MN John D. Dingell VA Medical Center, Detroit, MI Michael E. DeBakey VA Medical Center, Houston, TX Battle Creek VA Medical Center, Battle Creek, MI Orlando VAMC, Orlando, FL 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 (VDL) at: http://www4.domain.ext/vdl/ Title File Name FTP Mode -------------------------------------------------------------------------- ICD-10 Release Notes (YS*5.01*107) ICD-10_RN_YS_5_01_107.PDF Binary Production Overview Guide Groups ICD-10_Prod_Overview_Guide_ Binary 5, 6 & 7 Groups_5_6_7.pdf Technical Manual/Security Guide MH_TM.PDF Binary Patch 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 five 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 # (YS*5.01*107): 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 Data Dictionaries (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 YS*5.01*107. 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. 8. If prompted 'Delay Install (Minutes): (0 - 60): 0//', respond 0. Post-Installation Instructions ------------------------------ 1. Cleanup - The Post-Install routine YS107P should 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: ;;5.01;MENTAL HEALTH;**[Patch List]**;Dec 30, 1994;Build 23 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: YS107P Before: n/a After: B1703549 **107** Routine Name: YSDX3 Before: B10581455 After: B14443851 **33,60,107** Routine Name: YSDX3A Before: B7663653 After: B10489909 **33,107** Routine Name: YSDX3R Before: B8161908 After: B8147998 **107** Routine Name: YSDX3R1 Before: B12384514 After: B14732518 **107** Routine Name: YSDX3RU Before: B16343231 After: B18652946 **107** Routine Name: YSDX3RUA Before: B9895863 After: B11544706 **16,107** Routine Name: YSDX3U Before: B19122037 After: B21590008 **107** Routine Name: YSDX3UA Before: B17115146 After: B20591995 **96,60,107** Routine Name: YSDX3UA0 Before: B4109653 After: B4575743 **107** Routine Name: YSDXUTL Before: n/a After: B9274857 **107** Routine Name: YSLXDG Before: n/a After:B145277069 **107** Routine Name: YSLXDG2 Before: n/a After: B39703907 **107** Routine Name: YSSR Before: B31889856 After: B34732043 **82,60,107** Routine list of preceding patches: 16, 60 ============================================================================= User Information: Entered By : Date Entered : FEB 23, 2012 Completed By: Date Completed: AUG 29, 2014 Released By : Date Released : AUG 29, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT