============================================================================= Run Date: OCT 22, 2007 Designation: DVB*4*58 Package : DVB - HINQ Priority: Mandatory Version : 4 SEQ #55 Status: Released Compliance Date: NOV 22, 2007 ============================================================================= Associated patches: (v)DVB*4*50 <<= must be installed BEFORE `DVB*4*58' Subject: AUTOMATED SERVICE CONNECTED DESIGNATION - DVB Category: - Routine - Enhancement (Mandatory) - Data Dictionary - Informational Description: ============ I M P O R T A N T ************************************************************************* This Hospital Inquiry (HINQ) patch, DVB*4.0*58, along with the Scheduling Application System patch, SD*5.3*495, and the Patient Care Encounter (PCE) patch, PX*1.0*184, is being released in a single KIDS software distribution (host file) DVB_4_P58.KID. This patch description includes only the informational portion of DVB*4.0*58. Also as part of this project are patches PRCA*4.5*250 and IB*2.0*369. These patches must be installed before the host file DVB_4_P58.KID. Please refer to the "Software Retrieval" and "Installation Instructions" sections of this patch description for instructions on how to acquire, install, and implement the patch software. ************************************************************************* This patch addresses the Automated Service Connected Designation (ASCD) project which will automate the Service Connected (SC) decision for outpatient encounters using mapped ICD9/Rated Disability Codes at the time the clinician enters the ICD9 code for the encounter within the Patient Care Encounter (PCE) and Scheduling packages ONLY. In the current clinical work environment providers are requested to designate, at the point of care, if a specific patient care encounter is service connected based on available disability rating information. This software will computerize the clinician's process at each encounter, i.e. mark the encounter service connected (SC) or non-service connected (NSC) as appropriate via the PCE & Scheduling packages. Thus, when a provider or clinician chooses the diagnosis code within one of these packages for the encounter, the system will automatically determine if the diagnosis is related to the veteran's established SC conditions, and will likewise automatically make the proper SC/NSC determination. Additionally, the Class III Service Connection Objective Update Tool (SCOUT) software has been converted and implemented as Class I Automated Service Connected Designation (ASCD). This software recognizes potentially billable encounters for SC veterans that cannot be automatically matched to rated disability codes as well as potentially non-billable encounters which were designated NSC but should be SC. These encounters are displayed in reports for coders and/or utilization review staff to review the patient visit information and change the incorrect SC/NSC designation so they can be billed appropriately. This patch introduces modifications to the DISABILITY CONDITION (#31) file. The Veterans Health Administration (VHA) has mapped the Veteran Benefits Administration (VBA) 4 digit RATED DISABILITIES (VA) code terminology to ICD-9-CM codes used for billing and reporting purposes within VistA. This mapping will help automate the Service Connected (SC) decision for outpatient encounters. DBIA 733 was updated with read access to RELATED ICD9 CODES, field #20 multiple file #31.01. DBIA REFERENCE: 733 NAME: READ ACCESS TO ICD9 CODE INFORMATION CUSTODIAL PACKAGE: HINQ This patch addresses the following New Service Request (NSR): ------------------------------------------------------------- Request ID: 20050705 Request Name: Automated Service Connected Designation Product Name: SCOUT and VBA/ICD mapping This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- There are no Remedy tickets associated with this patch. Components Sent With Patch: --------------------------- ROUTINE, FILE ROUTINE SUMMARY: ================ The following is a list of the routines included in this patch. The second line of each of these routines now looks like: ;;4.0;HINQ;**[patch list]**;03/25/92 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== DVB458P N/A 9681194 58 DVB458P1 N/A 11622476 58 DVB458P2 N/A 19026889 58 DVB458P3 N/A 25900315 58 DVB458P4 N/A 29616464 58 DVB458P5 N/A 23018146 58 DVB458P6 N/A 21367822 58 Number of Routines = 7 CHECK1^XTSUMBLD results (new method) Routine name Before Patch After Patch Patch List ============ ============ =========== ========== DVB458P N/A 35413628 58 DVB458P1 N/A 42388125 58 DVB458P2 N/A 71594347 58 DVB458P3 N/A 85058690 58 DVB458P4 N/A 95562400 58 DVB458P5 N/A 101691653 58 DVB458P6 N/A 41872735 58 Number of Routines = 7 The following is a list of files included in this patch: -------------------------------------------------------- UP SEND DATA USER DATE SEC. COMES SITE RSLV OVER FILE # NAME DD CODE W/FILE DATA PTS RIDE ------------------------------------------------------------------ 31 DISABILITY CONDITION YES NO NO NO Partial DD: subDD: 31.01 fld: .01 fld: .02 The following is a list of fields included in this patch: --------------------------------------------------------- Field Name (Number) File Name (Number) --------------------------- ------------------------------------ RELATED ICD9 CODES (#20) RELATED ICD9 CODES SUB-FILE (#31.01) RELATED ICD9 CODES (#.01) sub-file multiple (#31.01) ICD9 MATCH (#.02) sub-file multiple (#31.01) Test Sites: Alpha Beta ----------- ----- ---- Bedford, MA X Bronx, NY X Fargo, ND X North Texas, TX X Puget Sound, WA X Tampa, FL X SOFTWARE RETRIEVAL INSTRUCTIONS: -------------------------------- 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 will contain three (3) KIDS builds. Host file name: DVB_4_P58.KID Build: DVB*4.0*58 SD*5.3*495 PX*1.0*184 Sites may retrieve the software and documentation directly using FTP from the following Office of Information Field Offices (OIFOs) sites: OIFO FTP ADDRESS ------------ ------------------------ Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov First Available Server : download.vista.med.va.gov (preferred method) The following files will be available: FILE NAME DESCRIPTION -------------------- ----------------------------------------------- DVB_4_P58.KID Host file containing KIDS software distribution PX_10_P184_UM.PDF PCE User Manual SD_53_P495_UM.PDF User Manual - ASCD Menu SD_53_P495_RN.PDF ASCD Release Notes SD_53_P495_TM.PDF ASCD Technical Manual * Note: Use ASCII mode when transferring the .KID file. Use Binary mode when transferring the .PDF files. Env/Pre/Post Installation Overview: ----------------------------------- * Environment Check Routine (ENV^DVB458P): Programmer access is required for installing this patch. Prior to installation, the installer must ensure the DUZ(0) node of the DUZ array is set to the "@" symbol. * Post-Install Routine (POST^DVB458P): This routine is the main post-install driver that will update the DISABILITY CONDITION (#31) file with the new mapping of the Rated Disabilities (VA) VBA DX CODES to specific ICD9 DIAGNOSIS codes. * File and Global Information: The size of the DISABILITY CONDITION (#31) file will increase based on the number of RELATED ICD9 CODES added. There are 3,599 RELATED ICD9 CODES that will be added. During internal testing, the size of the ^DIC( global increased by 3 Blocks and the Bytes Used increased by 86,400. Please check your disk space availability before installing this patch. * Required Builds: The following is a list of REQUIRED builds for this KIDS distribution. KIDS will not allow the installation of this patch without their prior installation. Required Build(s): ------------------ DVB*4.0*50 PX*1.0*158 SD*5.3*466 PRCA*4.5*250 IB*2.0*369 ================INSTALLATION INSTRUCTIONS ================= -------------------------- VERY IMPORTANT -------------------------- Prior to installation of DVB*4.0*58, it is recommended that sites run the following option. Select Menu Management Option: Fix Option File Pointers Do you want to remove any 'Dangling Pointers' from your OPTION File? Y// IF the installation errors out because of a XPAND+1^XQ83A error then do the following - a. Run the 'Fix Option File Pointers' option. b. On the INSTALL menu: Select Kernel Installation & Distribution System Option: INstallation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) <----use this option Unload a Distribution This install should pick up where it left off and finish. NOTE: The undefined error is not caused by this patch and is being addressed by Remedy ticket 211707. -------------------------------------------------------------------------- If installed during the normal workday, it is recommended that the following selection(s) in the OPTION (#19) file, and all of their descendants be disabled to prevent possible conflicts while running the KIDS Install. Other VistA users will not be affected. For patch SD*5.3*495, the following SCHEDULING options need to be disabled: Appointment Management [SDAM APPT MGT] Appointment Check-in/Check-out [SDAM APPT CHECK IN/OUT] Appointment Status Update [SDAM APPT UPDATE] Appointment Status Update Menu [SDAM APPT UPDATE MENU] Scheduling Manager's Menu [SDMGR] For patch PX*1.0*184, the following PCE PATIENT CARE ENCOUNTER options need to be disabled: PCE Encounter Data Entry [PXCE ENCOUNTER DATA ENTRY] PCE Encounter Data Entry and Delete [PXCE ENCOUNTER ENTRY & DELETE] PCE Encounter Data Entry without Delete [PXCE ENCOUNTER ENTRY NO DELETE] PCE Encounter Data Entry - Supervisor [PXCE ENCOUNTER ENTRY SUPER] PCE Encounter Viewer [PXCE ENCOUNTER VIEWER] This patch can be installed during normal work hours. Users do not need to be off the system. Install Time - less than 5 minutes 1. LOAD TRANSPORT GLOBAL --------------------- Download the KIDS file DVB_4_P58.KID from one of the OIFO sites. 2. START UP KIDS ------------- Start up the Kernel Installation and Distribution System Menu [XPD MAIN]: Edits and Distribution ... Utilities ... Installation ... Select Kernel Installation & Distribution System Option: INStallation --- Load a Distribution Print Transport Global Compare Transport Global to Current System Verify Checksums in Transport Global Install Package(s) Restart Install of Package(s) Unload a Distribution Backup a Transport Global Select Installation Option: LOAD A DISTRIBUTION ------------------- 3. Select the LOAD A DISTRIBUTION option on the KIDS INSTALLATION menu, and enter: DVB_4_P58.KID When prompted, answer "YES" to the "Enviromental Check Routine" prompt Build DVB*4.0*58 has an Enviromental Check Routine Want to RUN the Environment Check Routine? YES// 4. Select Installation Option: --------------------------- NOTE: The following are OPTIONAL - (When prompted for the INSTALL NAME, enter DVB*4.0*58): 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. 5. Select Installation Option: Install Package(s) ------------------ **This is the step to start the installation of this KIDS patch: a. Choose the Install Package(s) option and select the package DVB*4.0*58. b. When prompted for the name of the coordinator of the new mail group SDSC NIGHTLY TALLY, please enter the name of the individual that will be responsible for maintaining this mail group. c. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of Install? NO//' answer NO. d. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//' answer NO. e. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//' answer YES. When prompted to select the Options you would like to place out of order, enter all of the Options listed above. f. When prompted 'Enter protocols you wish to mark as 'Out Of Order':' press . 6. You may delete the ENV/PRE/POST Installation routines (DVB458P*) and (SD53P495) from your system after the patches have been successfully installed and verified. The following patch install user screen messages provide for the verification of a successful install. a. For patch DVB*4.0*58: --------------------- >>> *** SUCCESS updating the DISABILITY CONDITION (#31) file. Total RELATED ICD9 CODES filed: 3599 b. For patch SD*5.3*495: --------------------- * (If your site is NOT running the Class III (SCOUT) software.) ------ ****** The Class III (SCOUT) File Conversion is NOT necessary because the ANU SERVICE CONNECTED CHANGES (#626140) file does not exist on this system. Post-Install process terminated... ****** * (If your site IS running the Class III (SCOUT) software.) -- ****** Task ####### has been started to run the Class III (SCOUT) File Conversion. You will receive a MailMan message when this task is completed or if it has been manually stopped. ****** NOTE: Details of the changes applied by these patches are provided during the installation and may also be reviewed with the Install File Print option on the Utilities menu on the Kernel Installation and Distribution System menu. ************** POST-INSTALLATION INSTRUCTIONS ************** The following Success or Failure screen messages will be displayed during the post-install updating of the DISABILITY CONDITION (#31) file. All Filing errors need to be resolved and then the post-install routine (POST^DVB458P) re-run again to a successful completion before this patch can be considered successfully installed. Successful update messages: --------------------------- >>> *** Updating the DISABILITY CONDITION (#31) file... *** Please be patient, this should take less than 5 minutes. >>> *** SUCCESS updating the DISABILITY CONDITION (#31) file. Total RELATED ICD9 CODES filed: 3599 Failure update messages: ------------------------ >>> *** Updating the DISABILITY CONDITION (#31) file... *** Please be patient, this should take less than 5 minutes. >>> *** FAILURE updating the DISABILITY CONDITION (#31) file. Filing errors have occurred when adding the new RELATED ICD9 CODES. Immediate resolution is necessary to maintain database integrity. A MailMan message has been sent to the installer of this patch with a listing of the errors. Once these filing errors have been resolved, please re-run the Post-Installation routine directly from programmer mode by entering the following command: D POST^DVB458P >>> I'm now creating and sending the MailMan message... >>> All done. MAILMAN MESSAGE example: ------------------------ The following example is of the MailMan message detailing any Filing errors that have occurred during the Post-Install updating of the DISABILITY CONDITION (#31) file. Subj: DVB*4.0*58 Patch Post-Install Error Listing [####] 01/09/07@17:11 243 lines From: POSTMASTER In 'IN' basket. Page 1 *New* ----------------------------------------------------------------------- Patch: DVB*4.0*58 Automated Service Connected Designation The post-installation update of the DISABILITY CONDITION (#31) file has FAILED to successfully complete. Filing errors have occurred when attempting to add the new data mapping of RELATED ICD9 CODES. Immediate resolution of ALL errors is needed to maintain database integrity. Once these filing errors have been resolved, please re-run the Post-Installation routine directly from programmer mode by entering the following command: D POST^DVB458P The new update run time should take less than 5 minutes to complete. >>> Please review and resolve the following errors: *** DISABILITY CONDITION FILE (#31) FILING ERRORS *** ----------------------------------------------------- VBA DX CODE: 4999 - DX CODE not found in (#31) file VBA DX CODE: 5005 - ARTHRITIS, PNEUMOCOCCIC ICD DIAGNOSIS CODE: 041.2 - not found in ICD DIAGNOSIS (#80) file VBA DX CODE: 5006 - ARTHRITIS, TYPHOID ICD DIAGNOSIS CODE: 002.0 - error filing to (#31) file VBA DX CODE: 5007 - ARTHRITIS, SYPHILITIC ICD DIAGNOSIS CODE: 094.0 - error filing to (#31) file Routine Information: ==================== The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: DVB458P Before: n/a After: B35413628 **58** Routine Name: DVB458P1 Before: n/a After: B42388125 **58** Routine Name: DVB458P2 Before: n/a After: B71594347 **58** Routine Name: DVB458P3 Before: n/a After: B85058690 **58** Routine Name: DVB458P4 Before: n/a After: B95562400 **58** Routine Name: DVB458P5 Before: n/a After:B101691653 **58** Routine Name: DVB458P6 Before: n/a After: B41872735 **58** ============================================================================= User Information: Hold Date : OCT 22, 2007 Entered By : MORRISON,JENNIFER Date Entered : DEC 27, 2006 Completed By: WOEHRLE,MARGARET Date Completed: OCT 16, 2007 Released By : BENBOW,PHYLLIS O Date Released : OCT 22, 2007 ============================================================================= Packman Mail Message: ===================== No routines included