$TXT Created by LUNDEN,JOHN at MNTVBB.FO-ALBANY.MED.VA.GOV  (KIDS) on Tuesday, 05/18/04 at 11:10
=============================================================================
Run Date: JUN 17, 2004                     Designation: PX*1*136
Package : PX - PCE PATIENT CARE ENCOUNTER     Priority: Mandatory
Version : 1       SEQ #105                      Status: Released
                  Compliance Date: JUL 16, 2004
=============================================================================

Associated patches: (v)PX*1*11     <<= must be installed BEFORE `PX*1*136'
                    (v)PX*1*112    <<= must be installed BEFORE `PX*1*136'
                    (v)PX*1*121    <<= must be installed BEFORE `PX*1*136'
                    (v)IB*2*257    <<= must be installed BEFORE `PX*1*136'

Subject: FIX EM CODE PROMPTS IN CP PROTOCOL

Category: 
  - Routine

Description:
============

 This patch addresses 2 problems.
 PROBLEM 1:
 In PCE, while running the CP (CPT Procedure) Protocol, the code does 
 not check to see if the CPT code is an E&M code in file 357.69 (Type of 
 Visit). An E&M code may only be placed on an encounter once with the
 "Quantity" field only allowing a "1" unless the "Type of Visit" file is
 set up to allow more than one (see IB*2.0*257). This business rule is,
 therefore, not currently being enforced. 
  
 NOTE: the quantity flag in IB*2.0*257 can be set with the menu option
 EDIT E&M CODE QUANTITY FLAG [IB EDIT E&M CODE QUNATITY FLAG] under the
 mccr System Definition Menu [IB SYSTEM DEFINITION MENU] option. 
 This option requires the IB SUPERVISOR key. 
  
 PROBLEM 2:
 In the Check Out function of PCE the user is asked to enter an ICD9 
 code. If the user enters a partial CPT code then the Check Out procedure 
 will generate a list of codes that match. However, if one of the matching 
 ICD9 codes has a blank Description field the program will error. Note - 
 this error does not occur when adding an ICD9 code through the "DX  
 Diagnosis (ICD 9)" protocol.
  
  
 ASSOCIATED ER3(s):
 ------------------
 N/A
  
 ASSOCIATED NOIS:
 ---------------
 Problem 1: 
     MEM-0903-70868 unable to enter multiple codes
   
     Duplicates:
     POR-0903-50335 PX*1*112 cause problem with code 99355
     SFC-0903-60644 Problem with PX*1*112
     MAC-1203-62060 CPT code G0154 only allows quantity of 1  bdj
     ECH-1003-50767 CPT QUANTITY
  
 Problem 2:
     WPB-0104-30484 Null Subscript
  
     Duplicates:
     SBY-0304-31638  FILTER+2^PXBGPOV2:1
     MAD-0104-42144  FILTER+2~PXBGPOV2:1
     MIA-0104-30914  <NULLSUBSCR>FILTER+2^PXBGPOV2
  
  
 PARTICIPATING TEST SITES:
 -------------------------
 El Paso,TX
 Portland,OR
 Northern California HCS
 Eastern Colorado HCS
  
 NOIS OVERVIEW:
 --------------
 PROBLEM 1:
 In PCE, while running the CP (CPT Procedure) Protocol, the code does 
 not check to see if the CPT code is an E&M code in file 357.69 (Type of 
 Visit). An E&M code may only be placed on an encounter once with the
 "Quantity" field only allowing a "1" unless the "Type of Visit" file is
 set up to allow more than one (see IB*2.0*257). This business rule is,
 therefore, not currently being enforced. 
  
 PROBLEM 2:
 In the Check Out function of PCE the user is asked to enter an ICD9 
 code. If the user enters a partial CPT code then the Check Out procedure 
 will generate a list of codes that match. However, if one of the matching 
 ICD9 codes has a blank Description field the program will error.
  
  
 TECHNICAL:
 ----------
  
 PROBLEM 1:
 ----------
 E&M code information is kept in file 357.69 (Type of Visit). The CP (CPT 
 Procedure) protocol was not looking at this file when validating the 
 user's input. In general an E&M code may only be added to an encounter 
 once - and with a "quantity" of "1". There is an exception to this rule. 
 There is a field in file 357.69 which serves as a flag to say that this 
 particular code may be used more than once and with a quantity of more 
 than one.
  
  
 357.69,.06    ALLOW QUANTITY GREATER THAN 1 0;6 SET
  
                                 'N' FOR NO; 
                                 'Y' FOR YES; 
               LAST EDITED:      MAY 13, 2004 
               HELP-PROMPT:      Entry of YES allows more than one 
                                 unit(quantity) be entered. 
  
  
  
  
 Since the current code does not check this file, any CPT code entered may 
 be used more than once and with a quantity greater than one.
  
 RESOLUTION 1:
 Change the Check Out code so that it verifies the above information 
 and prompts accordingly.
  
  
 PROBLEM 2:
 If the user has entered a partial ICD9 then the M code searches for 
 matches based on this entry. It will internally arrange them in an array 
 with the ICD9 description as one of the subscripts. If the description is 
 null this results in a null subscript error. 
  
 RESOLUTION 2:
 The array will always be set with the description concatonated to a hard
 space. This will keep the ICD9 code in the array and not allow the error
 to occur.
  
  
  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:
  
      <tab>;;1.0;PCE PATIENT CARE ENCOUNTER;**[patch list]**;Aug 12, 1996
  
                             CHECK^XTSUMBLD results
  Routine name      Before Patch          After Patch         Patch List
  ============      ============          ===========         ==========
  PXBGPOV2               8957452              9019147         1,5,11,136
  PXCECPT                8582092              8612097       14,27,73,89,112
                                                                121,136
  PXCEVFI1               6129759              5939124       23,73,112,136
  
 INSTALLATION INSTRUCTIONS: 
 ==========================
 This patch can be installed during business hours, but because some 
 options will be out of service during the installation process it is 
 suggested that it be queued for non-peak hours. Installation will take
 less than 5 minutes.
  
 1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu. [Note: TEXT 
    PRINT/DISPLAY option in the PackMan menu will display the patch text
    only].
  
 2.  Review your mapped set.  If the routines are mapped, they should be
     removed from the mapped set at this time.
  
 3. From the Kernel Installation and Distribution System (KIDS) menu,
    select the Installation menu.
  
 4. From this menu, you may elect to use the following options:
    (when prompted for INSTALL NAME enter PX*1.0*136)
    
    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.
  
 5. Use the Install Package(s) option and select the package PX*1.0*136.
  
 6. When prompted 'Want KIDS to INHIBIT LOGONs during the install? YES//', 
    respond NO
  
 7. When prompted 'Want to DISABLE Scheduled Options, Menu Options, and
    Protocols? YES//', respond YES.
  
 8. When prompted to select the options you would like to place out of
    of order, enter the following:
  
         PXCE ENCOUNTER DATA ENTRY
         PXCE ENCOUNTER ENTRY & DELETE
         PXCE ENCOUNTER ENTRY NO DELETE
         PXCE ENCOUNTER ENTRY SUPER
  
 9. If routines were unmapped as part of step 2 (DSM for Open VMS sites
    only), they should be returned to the mapped set once the installation
    has run to completion.

Routine Information:
====================

Routine Name:
  - PXCECPT


Routine Checksum:

Routine Name:
  - PXCEVFI1


Routine Checksum:

Routine Name:
  - PXBGPOV2


Routine Checksum:

=============================================================================
User Information:
Entered By  : LUNDEN,JOHN                   Date Entered  : JAN 06, 2004
Completed By: ILUSTRISIMO,LUCY              Date Completed: JUN 15, 2004
Released By : HEUER,CINDY                   Date Released : JUN 17, 2004
=============================================================================


Packman Mail Message:
=====================

$END TXT