============================================================================= Run Date: OCT 08, 2004 Designation: DG*5.3*606 Package : DG - REGISTRATION Priority: Mandatory Version : 5.3 SEQ #533 Status: Released Compliance Date: NOV 08, 2004 ============================================================================= Associated patches: (v)DG*5.3*158 <<= must be installed BEFORE `DG*5.3*606' (v)DG*5.3*243 <<= must be installed BEFORE `DG*5.3*606' (v)DG*5.3*511 <<= must be installed BEFORE `DG*5.3*606' (v)ICD*18*12 <<= must be installed BEFORE `DG*5.3*606' (v)ICPT*6*19 <<= must be installed BEFORE `DG*5.3*606' (v)DG*5.3*594 <<= must be installed BEFORE `DG*5.3*606' (v)DG*5.3*599 <<= must be installed BEFORE `DG*5.3*606' Subject: CTD - DG CODE TEXT DESCRIPTORS Category: - Routine - Enhancement (Mandatory) - Informational Description: ============ I. BACKGROUND Office of Information Assurance, Office of Information, Veterans Health Administration, requested modifications to the VHA Information Systems and Technical Architecture (VistA) Patient Information Management System (PIMS) package that would allow for the use of multiple versions of the code sets employed in financial transactions. This work was completed in 2003 in the Code Set Versioning (CSV) project that was deployed in October of 2003. CSV included the Health Information Portability and Accessibility Act (HIPAA) stipulation that diagnosis and procedure codes used for billing purposes must be the codes that were applicable at the time service was provided. Four code sets, (ICD-9-CM, DRG, CPT, and HCPCS) for this project were modified as required under HIPAA legislation to be date-sensitive under the first phase of the project, i.e., CSV I. At the time that CSV I was developed, a request was made to defer applicable text versioning to the next iteration. This deferment of the short and long-text versions from the CSV project makes up the scope of this Code Text Descriptor (CTD) project. This follow-up project, Code Text Descriptors, intends to add the functionality of date-sensitive versioning for all applicable code text descriptors for the four code sets, effective with all textual changes occurring since October 1, 2002. This patch addresses the changes done within the Registration package in compliance with the specifications of CTD project. Modifications were done within the Registration application on the ambulatory care message builder when creating HL7 DG1 and PR1 segments. The APIs for CPT procedure codes, CPT modifiers, and ICD diagnosis now uses the event date to return the appropriate descriptors. The following option is modified by utilizing API. SCDX AMBCAR NIGHTLY XMIT Ambulatory Care Nightly Transmission to NPCDB DG REGISTRATION 10/10 REPRINT PTF MENU Test Sites ---------- Greater LA Hines Loma Linda Madison Puget Sound ROUTINE SUMMARY: ================ The following is a list of the routine(s) included in this patch. The second line of each of these routine(s) will look like: ;;5.3;Registration;**[patch list]**;Aug 13, 1993 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== DG1010S1 23821127 24461947 606 DG3PR2 11987190 13002946 26,606 DGPTDRG 19117072 19688122 60,441,510,559,599,606 DGPTFM 21358698 21489035 510,517,590,594,606 DGPTFM2 25922356 26309127 517,590,606 DGPTFM5 9392898 9523235 510,606 DGPTFMO 16458781 16665327 195,397,510,590,594,606 DGPTICD 3721052 3779492 375,441,510,559,599,606 DGPTLMU5 5680133 5943326 606 DGPTLMU6 3759937 3793687 606 DGPTODI3 16532709 16604859 51,158,164,375,606 DGPTTRIM 2792155 2822309 158,606 VAFHCDG 3218744 3229584 91,151,606 VAFHLDG1 12186066 12526140 94,151,190,511,606 VAFHLPR1 3908155 4034642 94,123,160,215,243,606 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== The software for this patch is not being distributed through the National Patch Module. This patch is being distributed as a host file. The host file is a multi-package build containing five (5) KIDS builds. Host file name: CTD_MS_1_0.KID Multi-Package Build: CTD MS 1.0 Builds: EC*2.0*63 : PX*1.0*149 : SD*5.3*351 : DG*5.3*606 : IB*2.0*266 Sites may retrieve the software and documentation directly using FTP from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany: ftp.fo-albany.med.va.gov Hines: ftp.fo-hines.med.va.gov Salt Lake City: ftp.fo-slc.med.va.gov The following files will be available: File Name Description --------- ----------- CTD_MS_1_0.KID Host file containing KIDS software distribution CTD_Install_Guide_1_0.pdf Code Text Descriptors (CTD) Installation Guide EC2_0P63.EXE Event Capture GUI * Note: Use ASCII mode when transferring the .KID file. Use Binary mode when transferring the .EXE and .PDF files. The .PDF files can be read on a PC using the Adobe Acrobat Reader program. INSTALLATION INSTRUCTIONS: ========================= This patch can be installed with users on the system, however it should be installed during off hours to minimize disruption to users. This patch affects the check-out process and must be installed when the SCDX AMBCAR NIGHTLY XMIT background job is not running. Installation will take less than 10 minutes. Note: The following is a list of REQUIRED builds for this multi-package distribution. KIDS will not allow the installation of this patch without the prior installation of them. DG*5.3*158 DG*5.3*243 DG*5.3*511 DG*5.3*594 DG*5.3*599 EC*2*55 EC*2*56 EC*2*62 IB*2*115 IB*2*210 IB*2*245 ICD*18*12 ICPT*6*19 PX*1.0*136 PX*1.0*134 SD*5.3*324 SD*5.3*329 1. Download the KIDS file CTD_MS_1_0.KID from the ANONYMOUS.SOFTWARE directory of either Albany, Hines or the Salt Lake OIFO to the appropriate directory on your system. 2. Use LOAD A DISTRIBUTION option on the KIDS INSTALLATION menu, and enter: CTD_MS_1_0.KID 3. Review your mapped set. If any of the routines listed in the ROUTINE SUMMARY section are mapped, they should be removed from the mapped set at this time. 4. From the Kernel Installation and Distribution System Menu, select the Installation menu. 5. From this menu, you may elect to use the following options (when prompted for INSTALL NAME, enter the appropriate patch designation - EC*2.0*63, PX*1.0*149, SD*5.3*351, DG*5.3*606 and IB*2.0*266): 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. 6. Use the Install Package(s) option and select the package CTD MS 1.0. 7. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//',respond NO. 8. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//', respond YES. When prompted to select the options you would like to place out of order, enter the following: DG PTF MENU PTF Menu DG REGISTRATION 10/10 REPRINT 10/10 Print without New Registration ECMENU Event Capture Menu EC GUI CONTEXT EC GUI Context PXCE ENCOUNTER DATA ENTRY PCE Encounter Data Entry PXCE ENCOUNTER ENTRY & DELETE PCE Encounter Data Entry & Delete PXCE ENCOUNTER ENTRY NO DELETE PCE Encounter Entry Without Delete PXCE ENCOUNTER ENTRY SUPER PCE Encounter Data Entry - Supervisor SCDX AMBCAR NIGHTLY XMIT Ambulatory Care Nightly Transmission to NPCDB SDAM APPT MGT Appointment Management SDAM APPT CHECK IN/OUT Appointment Check-in/Check-out SDADDEDIT Add/Edit Stop Codes SDAPP Appointment Menu SDI Check-in/Unsched. Visit SDM Make Appointment 9. If routines were unmapped as part of step 3, they should be returned to the mapped set once the installation has run to completion. Routine Information: ==================== Routine Name: - VAFHLDG1 Routine Checksum: Routine Name: - VAFHCDG Routine Checksum: Routine Name: - VAFHLPR1 Routine Checksum: Routine Name: - DGPTDRG Routine Checksum: Routine Name: - DGPTFM2 Routine Checksum: Routine Name: - DGPTLMU6 Routine Checksum: Routine Name: - DG1010S1 Routine Checksum: Routine Name: - DG3PR2 Routine Checksum: Routine Name: - DGPTFMO Routine Checksum: Routine Name: - DGPTICD Routine Checksum: Routine Name: - DGPTODI3 Routine Checksum: Routine Name: - DGPTTRIM Routine Checksum: Routine Name: - DGPTLMU5 Routine Checksum: Routine Name: - DGPTFM Routine Checksum: Routine Name: - DGPTFM5 Routine Checksum: ============================================================================= User Information: Entered By : MORRISON,JENNIFER Date Entered : JUN 02, 2004 Completed By: LAVERTY,TIM Date Completed: OCT 04, 2004 Released By : GROOMS,ANTHONY E Date Released : OCT 08, 2004 ============================================================================= Packman Mail Message: ===================== No routines included