============================================================================= Run Date: AUG 31, 2005 Designation: SR*3*119 Package : SR - SURGERY Priority: Mandatory Version : 3 SEQ #137 Status: Released Compliance Date: OCT 01, 2005 ============================================================================= Associated patches: (v)SR*3*50 <<= must be installed BEFORE `SR*3*119' (v)SR*3*105 <<= must be installed BEFORE `SR*3*119' (v)SR*3*107 <<= must be installed BEFORE `SR*3*119' (v)SR*3*125 <<= must be installed BEFORE `SR*3*119' (v)SR*3*127 <<= must be installed BEFORE `SR*3*119' Subject: SURGERY CLINICAL INDICATOR DATA CAPTURE Category: - Enhancement (Mandatory) - Routine - Data Dictionary - Input Template - Informational Description: ============ This patch is the Surgery Package part of Clinical Indicator Data Capture (CIDC) project. There are no NOIS messages or E3Rs associated with this patch. Overview ======== This patch provides the ability to capture, store, and transmit to Patient Care Encounter (PCE) data elements required for billing purposes. Functional Description ====================== 1. Modifications to the Anesthesia Data Entry [SROANES-D] menu option allow the entry of multiple anesthesia start and end times, as well as a calculation of total billable anesthesia time. 2. An Anesthesia Care Questionnaire will be added to allow a more complete capture of clinical data, which will support coding and billing efforts. 3. An Anesthesia Billable Time API will be provided to return new multiple anesthesia start and end times to Integrated Billing. 4. The existing fields for entry of Referring Physician information will be enhanced to allow users to automatically populate the Surgery data using data from the NEW PERSON file (#200). 5. A process allowing a procedure code-level association to diagnosis will be provided. 6. A process allowing a diagnosis code-level association to Service Connected/Environmental Indicators will be provided. 7. New Environmental Indicator, Combat Veteran, will be provided. 8. The update to PCE will be modified to include the new billing data associations. The Surgery Site Parameter UPDATES TO PCE will be modified to force all case data to PCE. The Surgery Site Parameter ASK CLASSIFICATION QUESTIONS will be modified to always ask the questions. 9. The PCE Filing Status Report will be modified to reflect the changes in data required for PCE. 10. A new field, Prin Pre-OP ICD Diagnosis Code will be provided to capture pre-operative information and be sent to PCE. 11. Features provided by this patch are described in the Surgery Clinical Indicator Data Capture Release Notes. Test Sites: =========== Loma Linda, CA Cleveland, OH Dayton, OH Boston, MA Memphis, TN Charleston, SC Routine Summary =============== The following routines are included in this patch. The second line of each routine will look like: ;;3.0; Surgery ;**[patch list]**;24 Jun 93 Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ---------- SR119PI N/A 459039 119 SROADX N/A 18795317 119 SROADX1 N/A 17568272 119 SROADX2 N/A 8637892 119 SROANEST N/A 22475851 119 SROCON 7363157 7630009 78,119 SROCON1 842158 1857672 78,107,119 SROPCE 15911635 24960367 58,62,69,88,105,119 SROPCE0 20241119 21809130 58,62,69,77,50,119 SROPCE1 15377134 19572075 58,105,119 SROPCEX 6617925 7315597 58,62,69,86,119 SROVER 14654486 16285703 7,34,38,86,88,100,119 SROVER1 8656456 9154621 18,67,88,127,119 SROVER2 15388627 16522795 86,88,100,127,119 SROVER3 14521432 18910306 86,88,127,119 SROWL 10656478 16270257 58,119 Total number of routines - 16 Note: The post install routine (SR119PI) is included in this patch to set the UPDATES TO PCE field (#18) of the SURGERY SITE PARAMETERS file (#133) value to "A". It also sets the ASK CLASSIFICATION QUESTIONS field (#19) to "YES". This routine is deleted automatically by the KIDS installation process DATA DICTIONARY SUMMARY ======================== This patch adds the following new fields: - File: SURGERY file (#130) Field: Combat Vet (#.024) SET Field: ANES CARE TIME BLOCK (#.213) (Multiple,sub-file #130.213) Sub-Field: ANES CARE MULTIPLE START TIME (#.01) DATE Sub-Field: ANES CARE MULTIPLE END TIME (#1) DATE Field: ANES CARE BILLABLE TIME FLAG (#.214) SET Field: ANES CARE BILLABLE TIME (#.218) COMPUTED Field: ANES PERSONALLY PERFORMED (#.3511) SET Field: NUMBER OF CONCURRENT ANES CASES (#.3512) SET Field: ANES CONCURRENT CASES (#.3513) (Multiple, sub-file #130.3513) Sub-Field: ANES CONCURRENT CASES (#.01) POINTER Field: ANES MEDICALLY DIRECTED (#.3514) SET Field: ANES PHYSICIAN AVAILABLE (#.3515) SET Field: PRIN ASSOC DIAGNOSIS (#27.5) (Multiple, sub-file #130.275) Sub-Field: PRIN ASSOCIATED DIAGNOSIS (#.01) NUMERIC Field: PRIN PRE-OP ICD DIAGNOSIS CODE (#32.5) POINTER - Sub-File: REFERRING PHYSICIAN (#130.03) Field: REF PHY 200 LINK (#6) POINTER - Sub-File: OTHER PROCEDURES (#130.16) Field: OTHER ASSOCIATED DIAGNOSIS (#5) (Multiple,sub-file #130.165) Sub-File: OTHER ASSOCIATED DIAGNOSIS (#130.165) Sub-Field: OTHER ASSOCIATED DIAGNOSIS (#.01) NUMBER - Sub-File: OTHER POSTOP DIAGS (#130.18) Field: SERVICE CONNECTED (#4) SET Field: AGENT ORANGE EXPOSURE (#5) SET Field: IONIZING RADIATION EXPOSURE (#6) SET Field: MILITARY SEXUAL TRAUMA (#7) SET Field: HEAD AND/OR NECK CANCER (#8) SET Field: ENVIRONMENTAL CONTAMINANTS CANCER (#9) SET Field: COMBAT VET (#10) SET - Sub-File: REFERRING PHYSICIAN (#133.801) Field: COMBAT VET (#23) SET - File: SURGERY WAITING LIST file (#133.8) - Sub-File: REFERRING PHYSICIAN (#133.8013) Field: REF PHY 200 LINK (#6) POINTER This patch modifies the following fields: - File: Surgery file (#130) Field: PRINCIPAL PROCEDURE (#26) FREE TEXT Field: PRINCIPAL PROCEDURE CODE (#27) POINTER Field: PRINCIPAL PRE-OP DIAGNOSIS (#32) FREE TEXT Field: PRINCIPAL DIAGNOSIS (#33) FREE TEXT Field: PRINCIPAL POST-OP DIAG (#34) FREE TEXT Field: PRIN DIAGNOSIS CODE (#66) POINTER - Sub-File: REFERRING PHYSICIAN (#130.03) Field: REFERRING PHYSICIAN (#.01) FREE TEXT - Sub-File: OTHER PROCEDURES (#130.16) Field: OTHER PROCEDURE (#.01) Free Text Field: OTHER PROCEDURE CPT CODE (#3) POINTER - Sub-File: OTHER POSTOP DIAGS (#130.18) Field: OTHER POSTOP DIAGS (#.01) FREE TEXT Field: ICD DIAGNOSIS CODE (#3) POINTER - File: SURGERY WAITING LIST file (#133.8) - Sub-File: REFERRING PHYSICIAN (#133.8013) Field: REFERRING PHYSICIAN (#.01) FREE TEXT - File: Surgery Site Parameters (#133) Field: UPDATES TO PCE (#18) SET Field: ASK CLASSIFICATION QUESTIONS (#19) SET This patch modifies the following input templates: SROARPT SROMEN-ANES SRNON-OR SROMEN-OPER SROMEN-OUT SREQUEST SRSRES-ENTRY SROMEN-START SROMEN-POST SRSCHED-UNREQUESTED SRPARAM SRSRES1 SOFTWARE AND DOCUMENTATION RETRIEVAL ==================================== The software for this patch is being distributed in host file PX_CLINICAL_INDICATOR_DATA_CAPTURE.KID. The host file will contain six KIDS builds. The builds contained in the CIDC multi-package distribution are: Package Patch ------- --------- PCE PATIENT CARE ENCOUNTER PX*1.0*124 INTEGRATED BILLING IB*2.0*260 RADIOLOGY/NUCLEAR MEDICINE RA*5.0*41 SURGERY SR*3.0*119 PROSTHETICS RMPR*3.0*78 OUTPATIENT PHARMACY PSO*7.0*143 Please refer to the 'Software and Documentation Retrieval' section of the PX*1.0*124 patch description for instructions on how to acquire the patch software and install instructions. The documentation for this patch can be found in the following [ANONYMOUS.SOFTWARE] directories: Preferred Address ------------------------- First available FTP server download.vista.med.va.gov Specific Field Office 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 File Name Description Format -------------- ------------- -------- Change page docs: SR_3_P119_UM_CP.PDF Surgery V. 3.0 User Manual BINARY Change Pages SR_3_P119_TM_CP.PDF Surgery V. 3.0 Technical Manual BINARY Change Pages Updated manuals: SR_3_P119_UM.PDF Surgery V. 3.0 User Manual BINARY SR_3_P119_TM.PDF Surgery V. 3.0 Technical Manual BINARY Routine Information: ==================== Routine Name: - SROADX Routine Checksum: Routine Name: - SROADX1 Routine Checksum: Routine Name: - SROANEST Routine Checksum: Routine Name: - SROCON Routine Checksum: Routine Name: - SROCON1 Routine Checksum: Routine Name: - SROPCE Routine Checksum: Routine Name: - SROPCE1 Routine Checksum: Routine Name: - SROVER Routine Checksum: Routine Name: - SROVER1 Routine Checksum: Routine Name: - SROVER2 Routine Checksum: Routine Name: - SROVER3 Routine Checksum: Routine Name: - SROWL Routine Checksum: Routine Name: - SROADX2 Routine Checksum: Routine Name: - SROPCEX Routine Checksum: Routine Name: - SROPCE0 Routine Checksum: Routine Name: - SR119PI Routine Checksum: ============================================================================= User Information: Entered By : HACKETT,THOMAS Date Entered : JUN 11, 2003 Completed By: LYNCH,MARY F. Date Completed: AUG 30, 2005 Released By : CONSENTINO,ALBERT Date Released : AUG 31, 2005 ============================================================================= Packman Mail Message: ===================== No routines included