============================================================================= Run Date: OCT 08, 2004 Designation: ICD*18*12 Package : ICD - DRG GROUPER Priority: Mandatory Version : 18 SEQ #12 Status: Released Compliance Date: NOV 08, 2004 ============================================================================= Associated patches: (v)ICD*18*7 <<= must be installed BEFORE `ICD*18*12' (v)ICD*18*11 <<= must be installed BEFORE `ICD*18*12' Subject: CTD - ICD CODE TEXT DESCRIPTORS Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Informational Description: ============ The Code Text Descriptor (CTD) project adds the functionality of versioning the short and long-text descriptions of the International Classification of Diseases (ICD-9-CM), Diagnostic Related Groupings (DRG), Current Procedural Terminology (CPT-4) and Healthcare Common Procedure Coding System (HCPCS) classification systems. Once installed, the long and short text descriptors presented for these classifications will be date-sensitive (versioned) for all text changes occurring since Oct 1, 2002. This patch modifies the data dictionary for ICD Diagnosis (file 80), ICD Operation/Procedure (file 80.1) and DRG file (80.2) to record a continuing history of textual changes in the names and descriptions (short and long text) of diagnosis, procedures and DRG groupings. Several APIs have been modified to extract and return the date appropriate text based on the history stored in the new fields. API SUMMARY =========== $$ICDDX^ICDCODE(,,,) ICD Diagnosis Short Text - This API has been modified to return an 18 piece "^" delimited string containing information about an ICD Diagnosis code. The 4th piece of the string is the name of the diagnosis (short text) and is date sensitive. The text returned is date appropriate based on the date passed to the API. If no date is passed, then TODAY is used and the current text is returned in piece 4. If the date passed in pre-dates text versioning (before Oct 1, 2002), then a warning message will be inserted at the 18th piece, warning the user that the text may be inaccurate. (DBIA 3990) $$ICDOP^ICDCODE(,,,) ICD Operation/Procedure Short Text - This API has been modified to return a 14 piece "^" delimited string containing information about an ICD Operation/Procedure code. The 5th piece of the string is the name of the Operation/Procedure (short text) and is date sensitive. The text returned is date appropriate based on the dates passed to the API. If no date is passed, then TODAY is used and the current text is returned in piece 5. If the date passed in pre-dates text versioning (before Oct 1, 2002), then a warning message will be inserted at the 14th piece, warning the user that the text may be inaccurate. (DBIA 3990) $$ICDD^ICDCODE(,,) ICD Diagnosis/Procedure Description Long Text - This API has been modified to return the date sensitive ICD Diagnosis/Procedure description (long text). The text returned is date appropriate based on the date passed to the API. Output will be in an array designated by an input parameter. If the date passed in pre-dates text versioning (before Oct 1, 2002) then the array will contain a blank line followed by a warning message that the text may be inaccurate. (DBIA 3990) PERIOD^ICDAPIU(,.) ICD Diagnosis/Procedure Short Text - This API has been modified to include a date sensitive diagnosis or procedure name (short text) as the 2nd piece of a "^" delimited string. The string will be returned in an array passed in by reference and subscripted by the ICD Diagnosis activation date. The text returned is date appropriate based on the dates that define a period of activation for the ICD Diagnosis/Procedure code. If the history/period has an activation date and no inactivation date, then TODAY will be used, providing the current text. If the history/period has an activation date and an inactivation date, then the inactivation date will be used, providing the text of the code on the day the period of activation ended. (DBIA 3991) $$DRGD^ICDGTDRG(,,) NEW DRG Description Long Text - This is a NEW API created to return the date sensitive DRG description (long text). The text returned is date appropriate based on the date passed to the API. Output will be in an array designated by an input parameter. If the date passed in pre-dates text versioning (before Oct 1, 2002) then the array will contain a blank line followed by a warning message that the text may be inaccurate. (DBIA 4052) DD SUMMARY ========== ICD Diagnosis File 80 (2 new fields) 67 DIAGNOSIS (VERSIONED) (Multiple-80.067), [67;0] .01 VERSION DATE (MRD), [0;1] 1 DIAGNOSIS (VERSIONED) (RF), [0;2] 68 DESCRIPTION (VERSIONED) (Multiple-80.068), [68;0] .01 VERSION DATE (MRD), [0;1] 1 DESCRIPTION (VERSIONED) (RF), [1;1] ICD Operation/Procedure File 80.1 (2 new fields) 67 OPERATION/PROC (VERSIONED) (Multiple-80.167), [67;0] .01 VERSION DATE (MRD), [0;1] 1 OPERATION/PROC (VERSIONED) (RF), [0;2] 68 DESCRIPTION (VERSIONED) (Multiple-80.168), [68;0] .01 VERSION DATE (MRD), [0;1] 1 DESCRIPTION (VERSIONED) (RF), [1;1] DRG File 80.2 (1 new field) 68 DESCRIPTION (VERSIONED) (Multiple-80.268), [68;0] .01 EFFECTIVE DATE (MD), [0;1] 1 DESCRIPTION (Multiple-80.2681), [1;0] .01 DESCRIPTION (MF), [0;1] ROUTINE SUMMARY =============== The second line of each of these routines will look like: ;;18.0;DRG Grouper;**[PATCH LIST]**;Oct 20, 2000 Checksums Checksums Before After Routine Patch Patch Patch List (2nd Line) -------------------------------------------------------- ICD1812 Envir Chk 4997946 12 ICDAPIU 4745402 5624868 6,11,12 ICDCODE 4732626 9860985 6,12 ICDGTDRG 13362323 12513862 7,12 ICDID 4957875 12 INSTALLATION ============ Please refer to the Health Insurance Portability and Accountability Act (HIPAA) Code Text Descriptors (CTD) Installation Guide for details of the installation procedure for the CTD project. This patch is part of the CTD Utilities combined build, and is the first build/patch to be installed. Please reference the installation guide concerning the recommended installation of this combined build. The HIPAA CTD Installation Guide can be found in the following [ANONYMOUS.SOFTWARE] directories: Preferred Address ------------------------- First available FTP server download.vista.med.va.gov Specific Field Office FTD Address --------------------- ------------------------ Albany ftp.fo-albany.med.va.gov Hines ftp.fo-hines.med.va.gov Salt Lake City ftp.fo-slc.med.va.gov File Name Description Format FTP Protocol --------- ----------- ---------- -------- CTD_INSTALL_GUIDE_1_0.PDF Install Guide Acrobat Reader Binary Routine Information: ==================== Routine Name: - ICDAPIU Routine Checksum: Routine Name: - ICDCODE Routine Checksum: Routine Name: - ICDGTDRG Routine Checksum: Routine Name: - ICD1812 Routine Checksum: Routine Name: - ICDID Routine Checksum: ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : MAR 16, 2004 Completed By: STERNHAGEN,SHERRIL Date Completed: OCT 07, 2004 Released By : GROOMS,ANTHONY E Date Released : OCT 08, 2004 ============================================================================= Packman Mail Message: ===================== No routines included