============================================================================= Run Date: OCT 08, 2004 Designation: EC*2*63 Package : EC - EVENT CAPTURE Priority: Mandatory Version : 2 SEQ #58 Status: Released Compliance Date: NOV 08, 2004 ============================================================================= Associated patches: (v)EC*2*55 <<= must be installed BEFORE `EC*2*63' (v)EC*2*56 <<= must be installed BEFORE `EC*2*63' (v)EC*2*62 <<= must be installed BEFORE `EC*2*63' (v)ICD*18*12 <<= must be installed BEFORE `EC*2*63' (v)ICPT*6*19 <<= must be installed BEFORE `EC*2*63' Subject: CTD - ECS CODE TEXT DESCRIPTORS Category: - Routine - Enhancement (Mandatory) - Informational Description: ============ ***********************************NOTE*************************************** This patch does NOT conflict with CoreFLS and can be installed at CoreFLS sites. ****************************************************************************** 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 Event Capture package in compliance with the CTD project. II. TECHNICAL o Routine ECPRSUM1 was modified to replace direct global reads and Fileman calls with CPT and CPT modifiers APIs. o Routine ECUTL was modified to replace the direct global display of ICD9 description with the ICD9 API. o Routine ECEDU was modified to set the variable ECDT to be used with the ICD9 API. o Routine ECUTL2 was modified to remove DIC("W") for display of diagnosis. Display will use information from the "ID" nodes of the global DD. o Routine ECHECK1 was modified to add the event date as a parameter when calling the CPT API. o Routine ECSCR was modified to use the CPT API to display the correct descriptor. o Routine ECMUTL was modified to pass the event date rather than the current date when calling the CPT modifier API. o Routines ECPROV3, ECRDSSU and ECRPRSN were modified to use the ending date from the user specified date range to pull the CPT descriptors. This is in accordance with the business rule, "Reports generated for fee basis, workload, event capture, etc. that allow a date range for extracting information shall display results based upon the code text descriptions applicable on the ending date of the report." o The following DD changes were made to set the variable ICDVDT to be used by Fileman to display the appropriate diagnoses descriptor. - File 721, field 20 - File 721, subfile 721.038, field .01. III. FUNCTIONAL The only noticeable difference users may see will occur when a specific CPT, CPT modifier or ICD9 code descriptor changes base on the date the procedure was done. Below is a listed of options are that are affected by the CTD functionality. In some cases, changes done to the options under the CSV project automatically complies with the CTD requirements. Event Capture Roll-n-scroll --------------------------- Event Capture Data Entry [ECENTER] ... Enter/Edit Patient Procedures [ECPAT] Batch Enter Data by Patient [ECBATCH] Data Entry (Batch) by Procedure [ECBATCH PROC] Multiple Dates/Multiple Procedures Data Entry [ECMULT PROC] Event Capture Reports [ECREPS] ... Patient Summary - Event Capture [ECPAT SUM] DSS Unit Workload Summary [ECRDSSU] Provider Summary Report [ECPROV] Ordering Section Summary Report [EC OS SUM] Provider (1-3) Summary Report [EC PRO SUM] PCE Data Summary [EC PCE REPORT] Procedure Reason Report [ECRPRSN] Event Capture Management Menu [ECMGR] ... Local Procedure (Enter/Edit) [ECDSS PROCEDURE] Event Code Screens (Create) [ECSCREEN] Management Reports ... Print Category and Procedure Summary [ECCP] Event Capture GUI ----------------- Data Entry [Enter Patient and Procedure Data] ... Data Entry by Patient [Enter/Edit Patient Procedure(s)] Data Entry by Procedure [Batch (Same Procedure, Multiple Patients)] Reports [Preview and Print Selected Reports] ... Patient Summary Report DSS Unit Workload Report Provider Summary Report Ordering Section Summary Report Provider (1-3) Summary Report PCE Data Summary Report Procedure Reason Report Print Category and Procedure Summary (Report) Management Menu [Perform Event Capture Management Functions] ... Procedure [Add or Update Local Procedures] Event Code Screens [Add or Update Event Code Screens] 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: ;;2.0; EVENT CAPTURE ;**[patch list]**;8 May 96 CHECK^XTSUMBLD results Routine name Before Patch After Patch Patch List ============ ============ =========== ========== ECEDU 8969200 9030710 10,18,23,47,63 ECHECK1 6549413 6643061 4,33,47,55,63 ECMUTL 11579563 11587410 5,10,18,33,47,63 ECPROV3 10894580 11213827 5,8,18,29,47,56,63 ECPRSUM1 11325604 11354135 5,18,33,47,62,63 ECRDSSU 11564988 11666104 5,8,10,14,18,47,63 ECRPRSN 16701682 16740517 5,18,47,63 ECSCR 5255260 5426167 1,63 ECUTL 5272663 5510315 10,18,47,63 ECUTL2 8563647 8416831 23,33,47,63 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: - ECPRSUM1 Routine Checksum: Routine Name: - ECPROV3 Routine Checksum: Routine Name: - ECRDSSU Routine Checksum: Routine Name: - ECRPRSN Routine Checksum: Routine Name: - ECUTL2 Routine Checksum: Routine Name: - ECUTL Routine Checksum: Routine Name: - ECHECK1 Routine Checksum: Routine Name: - ECMUTL Routine Checksum: Routine Name: - ECEDU Routine Checksum: Routine Name: - ECSCR Routine Checksum: ============================================================================= User Information: Entered By : MORRISON,JENNIFER Date Entered : MAR 02, 2004 Completed By: LAVERTY,TIM Date Completed: OCT 04, 2004 Released By : STRICKLAND,JOAN C Date Released : OCT 08, 2004 ============================================================================= Packman Mail Message: ===================== No routines included