SURGERY (127)    PACKAGE (9.4)

Name Value
NAME SURGERY
PREFIX SR
DEVELOPER (PERSON/SITE) MICHAEL MONTALI/B'HAM ISC
*LOWEST FILE NUMBER 130
*HIGHEST FILE NUMBER 139.99
DEVELOPMENT ISC Birmingham
CLASS National
CURRENT VERSION 3.0
SHORT DESCRIPTION SURGICAL DATA COLLECTION AND OPERATIONS SCHEDULING
VERSION
  • 3.0
    DATE DISTRIBUTED:   2005-11-19 00:00:00
    PATCH APPLICATION HISTORY:
    • 58
      DATE APPLIED:   1996-10-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*58, SURGERY INTERFACE TO PCE.
      
    • 66 SEQ #63
      DATE APPLIED:   1997-06-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*66 includes modifications specifically for Imaging.
      
    • 157 SEQ #153
      DATE APPLIED:   2006-11-22 23:20:36
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Surgery-Tracking Prosthesis Items project enhances the Surgery
       
      2. Unrelated to the Prosthesis features, the trigger event for
         discontinuing orders will be moved from the TIME PAT OUT OR field
         (#.232) of the SURGERY file (#130) to the TIME PAT IN OR field (#.205)
         of the SURGERY file (#130). This enhancement is required as part of
         the Documenting Preoperative Antibiotics (Gainesville Solution)
         project.
       
      3. On the Nurse Intraoperative Report, replace references to CORRECT
         SURGERY COMMENTS to TIME OUT VERIFIED COMMENTS, IMAGING CONFIRMED
         software, adding new fields to the PROSTHESIS INSTALLED sub-file
         COMMENTS, and MARKED SITE COMMENTS, as appropriate.
         (#130.01) in the SURGERY file (#130). These new fields will
         function to mark the prosthesis item as sterile and record the
         expiration date of the sterile implant. The information entered into
         these fields will display on the Nurse Intraoperative Report. As an
         added safety/quality measure, the new fields will be mandatory for
         signing the Nurse Intraoperative Report. The report cannot be signed
         until all documentation is completed.
      
    • 160 SEQ #154
      DATE APPLIED:   2007-09-05 00:31:41
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch updates the Surgery Risk Assessment software of the Veterans
       
      Cardiac Risk Assessment Modifications
      -------------------------------------
      - The software is modified to expand the answer options of the PREOP
        CIRCULATORY DEVICE field (#474) to include "ARTIFICIAL HEART" and to 
        transmit "A" to CICSP for new raw value of this answer option.
       
      - This patch modifies all Lab fields under the Laboratory Test Results
        (Enter/Edit) [SROA LAB-CARDIAC] option to assume a past date if the user
        enters a date without a year.
       
      Non-Cardiac Assessment Modifications
      - Reinstitute the default functionality of the CARDIAC SURG PERFORMED 
        NON-VA field (#472) in the SURGERY file (#130), so that it defaults to
        "NO". 
       
      - The description is updated and/or other data dictionary changes are made
        for the following items:
         o CONGESTIVE HEART FAILURE field (#207)
         o ON VENTILATOR >48 HOURS field (#285)
         o PERIOPERATIVE MI field (#385)
         o PREOP CIRCULATORY DEVICE field (#474)
      ------------------------------------
         o AORTIC STENOSIS field (#477)
       
      - Data Quality Queries
        The data entry that does not meet the criteria is permitted, but would 
        cause a warning message to check the data for accuracy.
         o The D/T PATIENT EXTUBATED field (#470) should be later than the TIME
           PAT OUT OR field (#.232).
         o The D/T PATIENT EXTUBATED field (#470) should be earlier than the D/T
           PATIENT DISCH FROM ICU field (#471).
         o The D/T PATIENT DISCH FROM ICU field (#471) should be later than the
       * Note: All fields named below are in the SURGERY file (#130) unless 
           D/T PATIENT EXTUBATED field (#470).
         o D/T PATIENT DISCH FROM ICU field (#471) be equal to or earlier than
           the HOSPITAL DISCHARGE DATE field (#419).
         o The SURGICAL PRIORITY, DATE field (#414.1) should be earlier than
           the TIME PAT IN OR field (#.205).
         o The ESTIMATE OF MORTALITY, DATE field (#364.1) should be earlier than
           the TIME PAT IN OR field (#.205).
         o If TOTAL CPB TIME field (#451) > 0, the CONVERT FROM OFF PUMP TO CPB
           field (#469) should not be answered "NO, began off/stayed off".
       
               otherwise indicated.
       
      General Surgery Items
      ---------------------
      - Remedy Ticket #HD0000000152814
        This patch addresses two issues related to the Update Assessment Status
        to 'COMPLETE' [SROA COMPLETE ASSESSMENT] option missing items list:
        (1) For the NUM OF PRIOR HEART SURGERIES field (#352) in the SURGERY
            file (#130), the field is corrected to display "Number of Prior
            Heart Surgeries" instead of "Prior Heart Surgery (Y/N)".
        (2) For the field "PRIOR HEART SURGERIES" field (#485) in the SURGERY 
       
            file (#130), the data input functionality is modified to use the
            same controlled data input functionality used by the Clinical
            Information (Enter/Edit) [SROA CLINICAL INFORMATION] option. 
       
      - Remedy Ticket #HD0000000177807
        After installing this patch, if procedure and diagnosis coding is not
        complete at the time the Update Assessment Status to 'COMPLETE' [SROA
        COMPLETE ASSESSMENT] option is run, the software will display "The
        coding for Procedure and Diagnosis is not complete" immediately before
        asking, "Are you sure you want to complete this assessment ?".
      - These updates include functionality for selecting cases for risk
       
      - Remedy Ticket #HD0000000185045
        When using the Outcome Information (Enter/Edit) [SROA CARDIAC-OUTCOMES] 
        option to edit the OPERATIVE DEATH field (#384), entering YES or NO 
        causes the NEW MECHANICAL CIRCULATORY field (#467) to be changed to the 
        same value. Editing the NEW MECHANICAL CIRCULATORY field (#467) field 
        does not change the OPERATIVE DEATH field (#384).
       
      - Short LOCK Timeouts
        This patch updates the 1 second LOCK timeouts in the routine SROUTL to 
        assessment based upon case Current Procedural Terminology (CPT) codes,
        use the VA FileMan variable DILOCKTM if it exists.
        replacing the use of the Major or Minor surgery definition.
         o When selecting a case to be assessed, the software will check the 
      Health Information Systems and Technology Architecture (VistA) Surgery
           case CPT codes and display an informational statement if no CPT codes
           have been assigned to the case or if the case should be excluded from
           assessment.
         o A new report called "List of Eligible Cases" is added to the reports 
           contained in the List of Surgery Risk Assessments [SROA ASSESSMENT 
           LIST] option.
         o The MAJOR/MINOR field (#.03) is removed from NSQIP input options and 
           from the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] 
           option.
       
      application as requested by the Executive Board of the National Surgical
      - A new field called INTRAOPERATIVE ASCITES (#446) is created:
         o Added to the Operation Information (Enter/Edit) [SROA OPERATION DATA]
           option
         o Added to the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] 
           option
         o Added to data set transmitted to the national database
       
      - A new field called CLOSTRIDIUM DIFFICILE COLITIS (#447) is created:
         o Added to the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] 
           option
      Quality Improvement Program (NSQIP) and by the Cardiac Surgery Consultants
         o Added to the PERIOPERATIVE OCCURRENCE CATEGORIES section of the 
           Surgery Quarterly Report
         o CLOSTRIDIUM DIFFICILE COLITIS is added as a new occurrence category 
           to the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5)
       
      - The description is updated and/or other data dictionary changes are made
        for the following items:
         o SURGERY SPECIALTY field (#.04)
         o WOUND CLASSIFICATION field (#1.09)
         o REASON FOR NO ASSESSMENT field (#102)
      Board of the Continuous Improvement in Cardiac Surgery Program (CICSP).
         o HISTORY OF COPD field (#203)
         o WEIGHT LOSS > 10% field (#215)
         o BLEEDING DISORDERS field (#216)
         o OPEN WOUND field (#218)
         o PREOPERATIVE SEPSIS field (#218.1)
         o PREVIOUS PCI field (#220)
         o SYSTEMIC SEPSIS field (#250) and the SYSTEMIC SEPSIS occurrence 
           category in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5)
         o PNEUMONIA field (#251) and the PNEUMONIA occurrence category in the 
           PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5)
      The updates include the addition of new data fields, changes to existing 
         o PULMONARY EMBOLISM field (#252) and the PULMONARY EMBOLISM occurrence
           category in file (#136.5)
         o ACUTE RENAL FAILURE field (#254) and the ACUTE RENAL FAILURE
           occurrence category in file (#136.5)
         o PREGNANCY field (#269)
         o PERIPHERAL NERVE INJURY field (#287) and the PERIPHERAL NERVE INJURY 
           occurrence category in the PERIOPERATIVE OCCURRENCE CATEGORY file 
           (#136.5)
         o DYSPNEA field (#325)
         o CURRENT PNEUMONIA field (#326)
      data fields, changes to data entry screens, changes to reports used in 
         o REST PAIN/GANGRENE (Y/N) field (#330)
         o CHEMOTHERAPY IN LAST 30 DAYS field (#338.1)
         o QUADRIPLEGIA (Y/N) field (#398)
         o TUMOR INVOLVING CNS (Y/N) field (#401)
         o INTRAOP DISSEMINATED CANCER field (#443)
         o DATE COMP NOTED field (#2, sub-file #130.22)
         o SEPSIS CATEGORY field (#7, sub-file #130.22)
       
      - Hemoglobin A1c is added to the set of preoperative lab test results.
       
      Surgery Risk Assessment management process and changes to the Surgery Risk
      - This patch modifies all Lab fields under the Laboratory Test Results
        (Enter/Edit) [SROA LAB] option to assume a past date if the user enters
        a date without a year.
       
      - The DATE OF DEATH field (#342) is modified to allow the entry of time as
        well as date and is added to the Patient Demographics (Enter/Edit) [SROA
        DEMOGRAPHICS] option.
       
      - Airway Trauma, Mallampati Scale and Airway Index are removed from the
        set of information collected and transmitted to NSQIP.
      Assessment transmissions.
       
      - The letter produced by the Print 30 Day Follow-up Letters [SROA REPRINT 
        LETTERS] option is modified to display the date of operation and the 
        local surgical specialty.
       
      - The Monthly Surgical Case Workload Report [SROA MONTHLY WORKLOAD REPORT]
        option is modified to replace references to major/minor with eligible or
        excluded.
       
        
      
    • 161 SEQ #155
      DATE APPLIED:   2007-09-05 01:09:12
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses the following problems:
      a RESIDNET
       
      2.  HD175983   SROCON   Error - <UNDEFINED>HELP+1^SROCON
      When entering Anesthesia data for a surgical case, ^SROCON routine errors 
      at the
      "Do you want to store this information in the concurrent case ?  YES//" 
      prompt if 
      a "?" is entered and concurrent cases exist.
       
      3.  HD177449  SROREQ4   UNDEF ERROR
       
      When running the : Operation Requests for a Day  [SROP REQ] option the 
      report 
      generates an error <UNDEFINED>PRINT+2^SROREQ4
       S S(0)=^SRF(SRTN,0),DFN=$P(S(0),"^"),CNT=CNT+1
       
      4.  HD153358  SROCDX1   Error - <UNDEFINED>PADD1+4^SROCDX1
      An <UNDEFINDED> error was encountered when trying to verify some ICD-9 
      codes or Procedure codes.
      1.  HD136616  SROPCEP  Primary and Secondary Provider incorrect from 
      Surgery pkg
      The information  passed from the surgical package to PCE when received in 
      PCE the 
      SURGEON is listed as the PRIAMRY PROVIDER and the ATTENDING is listed as 
      the 
      SECONDARY PROVIDER.  Claims are being rejected if the PRIMARY PROVIDER is 
      
    • 159 SEQ #156
      DATE APPLIED:   2007-12-12 20:17:01
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch changes the Environmental Indicator ENVIRONMENTAL 
        ENVIRONMENTAL CONTAMINANTS the mnemonic "SWAC:" will be displayed. The 
        user dialog "Treatment related to Environmental Contaminants (Y/N)" 
        will be changed to "Treatment related to SW Asia (Y/N)".
       
      2. This patch modifies the Surgery software to always use a YES default 
      when initially prompting for "Treatment related to Combat (Y/N)".
       
      3. This patch modifies the Surgery software so that when entering or 
      editing a waiting list entry, service connected and environmental 
      indicator questions will be asked if appropriate for the patient 
      CONTAMINANTS name to SOUTHWEST ASIA CONDITIONS.
      regardless of the patient's admission status.
       
        - The Surgery package data dictionaries for ENVIRONMENTAL CONTAMINANTS 
        will be changed to SOUTHWEST ASIA CONDITIONS. The field help text will 
        be updated with the new name. Other field cross references will be
        updated with the new name.
       
        - In user dialog where the mnemonic "EC:" is used to display the 
      
    • 163 SEQ #157
      DATE APPLIED:   2007-12-12 21:00:43
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch makes changes to the Surgery software following the 
      assessment information when entering or updating a surgery request if the 
      ASK FOR RISK PREOP INFO field (#17) in the SURGERY SITE PARAMETERS file 
      (#133) is set to YES is updated so that this functionality works 
      correctly with the updated code for CARDIAC SURGERY in the SURGICAL 
      SPECIALTY FILE (#45.3).
       
      3. The logic executed when editing the CASE SCHEDULE TYPE field (#.035) 
      in the SURGERY file (#130) is updated so that this logic works correctly 
      with the updated code for CARDIAC SURGERY in the SURGICAL SPECIALTY file 
      (#45.3) to populate the CARDIAC SURGICAL PRIORITY field (#414) in the 
      installation of patch DG*5.3*757 (SURGICAL SPECIALTY FILE CHANGES) for 
      SURGERY file (#130).
      the PTF Fields No Longer Needed Project:
       
      1. The Quarterly Report - Surgical Service [SRO QUARTERLY REPORT] option 
      is updated to correspond with the codes and specialties that exist in the 
      updated SURGICAL SPECIALTY file (#45.3).
       
      2. The functionality that allows the input of preoperative risk 
      
    • 164 SEQ #158
      DATE APPLIED:   2007-12-12 22:20:20
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch adds the SURGERY CONSULT DATE field (#513) to the SURGERY 
      updated to display the SURGERY CONSULT DATE field (#513) when printing a 
      cardiac risk assessment.
       
      4. The missing information functionality for cardiac risk assessments is 
      updated to include the SURGERY CONSULT DATE field (#513) for surgical
      cases after September 30, 2007. This functionality is used by the Update
      Assessment Status to 'COMPLETE' [SROA COMPLETE ASSESSMENT] option and the
      List of Surgery Risk Assessments [SROA ASSESSMENT LIST] option.
       
      5. The SURGERY CONSULT DATE field (#513) is added to the cardiac risk 
      file (#130) for use by the Cardiac Risk Assessment module to document the 
      assessment transmission data set.
       
      6. This patch adds the WAIT TIME START field (#21) to the SURGERY file 
      (#130). This field will be auto-populated when the SURGERY CONSULT DATE 
      field (#513) is entered. There are no plans to build additional functions 
      for this field at this time.  
      date that the patient was notified that Surgery was needed, effectively 
      documenting the start of the patient's wait time. 
       
      2. The Resource Data [SROA CARDIAC RESOURCE] option is updated to include 
      the SURGERY CONSULT DATE field (#513) for input.
       
      3. The Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option is 
      
    • 162 SEQ #159
      DATE APPLIED:   2008-05-26 15:42:08
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Correct multiple Surgery tickets
      
    • 166 SEQ #160
      DATE APPLIED:   2008-05-26 16:02:11
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch updates the Surgery Risk Assessment software of the Veterans
       
        enhancement to this option shall list missing items in the same order as
        the standard assessment screens.
       
      - Cardiac Procedures Operative Data (Enter/Edit) [SROA CARDIAC PROCEDURES]
        The system is modified to initially prompts user to "Select Operative 
        Information to Edit." A new entry of "N" shall allow the user to "Set
        All to No" for the 22 Cardiac Procedures fields. A verification prompt
        will follow to ensure that user understands entry.
        
        Fields that do not have YES/NO responses will be updated as follows:
      Non-Cardiac Assessment Modifications
          Items #1-#5 are numeric and their values will be set to 0.
          #9 Valve Repair will be set to NONE
          #13 Maze Procedure will be set to NO MAZE PERFORMED
       
      - Laboratory Test Results (Enter/Edit) [SROA LAB-CARDIAC]
        If the lab values entered into the screen are out of range, they will be
        flagged as high or low during data entry.
       
      - Resource Data [SROA CARDIAC RESOURCE]
        o When editing the D/T PATIENT DISCH FROM ICU field (#471), the software
      ------------------------------------
          is modified to provide the user with a select option to allow user to
          pull date/time from existing list of possible entries or manually
          enter a date/time
       
        o Postop Extubation Hours
          If the extubation time is entered, the software will display the 
          number of hours between the time the patient left the operating room 
          and the time the patient was extubated.
       
        o PRIMARY CAUSE FOR DELAY field (#515)
      - List of Surgery Risk Assessment [SROA ASSESSMENT LIST] option
          If a Cardiac patient's surgery is greater than 30 days from initial VA
          Cardiothoracic Surgery Consultation (as calculated between the CT
          CONSULT DATE to DATE OF SURGERY), user is requested to enter cause as
          defined in the field. If date is less than or equal to 30 days, system
          shall automatically default entry to NONE.
       
       
      General Surgery Items
      ---------------------
      1. The following fields in the SURGERY file (#130) are updated to utilize 
        o When printing the List of Transmitted Assessments to screen or
         VistA Pharmacy supported API's in reference to the DRUG file (#50):
          - MEDICATIONS field (#.01, sub-file #130.33)
          - ANESTHESIA AGENTS field (#.01, sub-file #130.47 of sub-file #130.06)
          - TEST DOSE field (#.01, sub-file #130.48 of sub-file #130.06)
       
      2. Remedy Ticket #HD0000000203815
         When making an operation request, a site parameter controls whether 
         preoperative risk assessment information can be entered. If set to YES,
         there are occasions within two screens delete variables causing an
         undefined error. This patch fixes this problem.
          printer, the user is prompted to view/print assessed cases only,
       
      3. Remedy Ticket #HD0000000231157 
         The problem reported in this Remedy ticket is corrected by this patch.
         In the SURGERY file (#130), lookups on the DRUG file (#50) are modified
         to use only the GENERIC NAME field (#.01) and the SYNONYM field (#9).
        
      4. The following date/time fields in the SURGERY file (#130) are modified 
         to assume a past date if the user enters a date without a year:
         SURGICAL PRIORITY, DATE field (#414.1)
         HOSPITAL ADMISSION DATE field (#418)
          excluded cases only or both. Additionally, the user is prompted to
         HOSPITAL DISCHARGE DATE field (#419) 
         ADMISSION/TRANSFER DATE field (#420)
         DISCHARGE/TRANSFER DATE field (#421)
         OBSERVATION ADMISSION DATE field (#452)
         OBSERVATION DISCHARGE DATE field (#453)
          view/print the list by date of operation or by date of transmission.
        o When printing the List of Eligible Cases to screen or printer, the 
          user is prompted to view/print assessed cases only, excluded cases 
      Health Information Systems and Technology Architecture (VistA) Surgery
          only, non-assessed cases only or all cases.
        o A new list, the List of Cases With No CPT Codes is added. This list 
          displays all completed cases that have not been coded with CPT codes.
        o A new list, the Summary List of Assessed Cases is added. This report 
          displays the total count of incomplete, complete and transmitted risk
          assessments and the count of excluded cases. This report may be 
          printed for all or for selected surgical specialties and for all 
          divisions or for a selected division.
          
      - M&M Verification Report [SRO M&M VERIFICATION REPORT] option
      application as requested by the Executive Board of the National Surgical
        This report is modified to display additional information as available,
        including the case number, final CPT codes and review of death comments.
        
      - Clostridium Difficile Colitis (C. difficile) definition updated
        o In the SURGERY file (#130), the description for the CLOSTRIDIUM
          DIFFICILE COLITIS field (#446) is updated.
        o In the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5), the 
          description for the CLOSTRIDIUM DIFFICILE COLITIS (C-DIFFICILE)
          category is updated.
       
      Quality Improvement Program (NSQIP) and by the Cardiac Surgery Consultants
      - In the SURGERY file (#130), the description for the PREOP FUNCT. HEALTH
        STATUS field (#492) is updated.
          
      - Risk Model Lab Test (Enter/Edit) [SROA LAB TEST EDIT] option
        This new option is added to the Surgery Risk Assessment Menu [SROA RISK
        ASSESSMENT] to assist the nurse reviewers in mapping entries in the 
        RISK MODEL LAB TEST file (#139.2) to the LAB DATA file (#63).
        
      - REGIONAL Anesthesia Technique added
        o REGIONAL is added to the list of choices when entering the ANESTHESIA
      Board of the Continuous Improvement in Cardiac Surgery Program (CICSP).
          TECHNIQUE field (#.37) in the SURGERY file (#130).
        o The Anesthesia AMIS [SROAMIS] option is inactivated and removed from
          the Anesthesia Menu [SROANES1] and from the Anesthesia Reports [SR
          ANESTH REPORTS] menu options.
          
      - Preoperative Information (Enter/Edit) [SROA PREOP DATA] option updated
        o The following items are no longer required and are removed from the
          input screens:
          > On Page 1, under GENERAL
            E. Pack/Years
      The updates include the addition of new data fields, changes to existing 
            I. Pre-illness Funct Status
          > On Page 2, under CENTRAL NERVOUS SYSTEM
            H. Paraplegia 
            I. Quadriplegia
        o The following changes are made relating to the capture of height from
          the Vitals software:
          > The 1 year date range limitation is removed from the height capture 
            process so that the most recent height measurement is returned 
            regardless of when it was taken.
          > If the height capture process returns a height measurement from the 
      data fields, changes to data entry screens, changes to reports used in 
            Vitals software, the date of the measurement will be stored and 
            displayed on the data input screen.
       
      - Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option
        If the user responds YES to batch printing for a specific date range,
        the user will be allowed to print for a single surgical specialty or for
        all surgical specialties.
       
      - Surgery Consult Dates added
        The Patient Demographics (Enter/Edit) [SROA DEMOGRAPHICS] option is 
      Surgery Risk Assessment management process and changes to the Surgery Risk
        updated to include 2 additional date fields:
        o Surgery Consult Date
        o Date Surgery Consult Requested
       
      Cardiac Assessment Modifications
      ------------------------------------
      - Clinical Information (Enter/Edit) [SROA CLINICAL INFORMATION]
        The HEIGHT field (#236) and the WEIGHT field (#237) will no longer   
        accept an entry of NS for "No Study". System will only accept numeric
        values in the field.
      Assessment transmissions.
       
      - Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE RISK]
        This option is modified to allow users to enter a value of NS (No Study)
        into the Physician's Preoperative Estimate of Operative Mortality field.
        Upon entry of NS, the system will automatically populate the Date/Time
        of Estimate of Operative Mortality field with a value of NS (No Study).
       
      - Update Assessment Status to 'COMPLETE' [SROA COMPLETE ASSESSMENT] 
        This option is modified to list items missing from the assessment based 
        upon the order in the field number in SURGERY file (#130). An
      
    • 169 SEQ #161
      DATE APPLIED:   2009-04-21 13:54:27
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The CPT EXCLUSIONS file (#137) stores CPT codes that have been identified
      by the National Surgical Quality Improvement Program (NSQIP) as procedures
      that should not be risk assessed. This patch updates this file with data
      for fiscal year 2008.
      
    • 168 SEQ #162
      DATE APPLIED:   2009-04-22 12:39:07
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch modifies the Blood Product Verification [SR BLOOD PRODUCT 
      New Service Request (NSR):
      ==========================
      N/A
       
      Test Sites:
      ===========
      HEARTLAND-EAST HCS
      PHILADELPHIA, PA
      SAN DIEGO, CA
       
      VERIFICATION] option to accept the manually entered eye-readable code as 
       
      Documentation Retrieval:
      ========================
      No new documents or changes to existing documents are included in this 
      patch.
       
       
      Installation Instructions:
      ==========================
      This patch can be installed at any time with users on the system.
      well as the scanned bar code for Codabar labels.
      Installation should take less than two minutes.
       
       1. Use the INSTALL/CHECK MESSAGE option on the PackMan menu.
       
       2. From the Kernel Installation & Distribution System menu, select
          the Installation menu.
       
       3. From this menu, you may elect to use the following options (when
          prompted for the INSTALL NAME, enter SR*3.0*168):
       
       
          (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.
       
       4. Use the Install Package(s) option and select the package SR*3.0*168.
       
       5. When prompted "Want KIDS to INHIBIT LOGONs during the install? NO//"
          respond NO.
      Associated Remedy Ticket(s):
       
       6. When prompted "Want to DISABLE Scheduled options, Menu options, and
          Protocols? NO//" respond NO.
       
       
      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>;;3.0; Surgery ;**[patch list]**;24 Jun 93;Build 2
       
       Routine Name  Before Patch  After Patch  Patch List
       ------------  ------------  -----------  ----------
       SRBL          8388831       8708447      148,168
      N/A
       
      
    • 69 SEQ #64
      DATE APPLIED:   1997-09-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*69 - Surgery/PCE/NPCD Reporting
      
    • 167 SEQ #163
      DATE APPLIED:   2009-04-22 13:03:50
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch adds the Transplant Assessment module to the Surgery software.
           This option is used to enter and update the information required for
           the transplant assessments. This option also allows the assessment
           to be completed and transmitted.
       
       (2) Print Transplant Assessment [SRTP PRINT ASSESSMENT]
           This option is used to print a single Surgery Transplant Assessment.
       
       (3) List of Transplant Assessments [SRTP ASSESSMENT LIST]
           This option is used to print the List of Transplant Assessments. It
           provides summary information for assessments within the sort
      This enhancement provides the ability to create assessments for lung,
           parameters selected.
       
       (4) Transplant Assessment Parameters (Enter/Edit) [SR TRANSPLANT
           PARAMETER]
           This option is used to update local site parameters for the Surgery
           Transplants Assessment module. Sites that are transplant centers must
           designate the types of organ transplants performed or assessed in
           order to streamline the transplant selection process when entering
           data.
       
      liver, kidney and heart transplants.
      - The collected transplant assessments data will be stored in the SURGERY
        TRANSPLANT ASSESSMENTS file (#139.5).
       
      - Transplant Assessments Transmissions
        When editing an individual transplant assessment, upon leaving the
        final page, the software allows the user to transmit the assessment to
        the national database.
       
        o The data of the non-cardiac transplant assessments (lung, liver, and
          kidney) will be transmitted to national NSQIP database in Chicago,
       
          Illinois.
       
        o The data of the heart transplant assessments (cardiac) will be
          transmitted to national NSQIP database in Chicago, Illinois, as well
          as to national CICSP database in Denver, Colorado.
       
      - Followup to patch SR*3*169
        This patch includes a pre-installation process that removes the
        following CPT codes from the CPT EXCLUSIONS file (#137) that were
        overlooked in the NSQIP - CPT EXCLUSION update patch for fiscal year
      A new menu, Transplant Assessment Menu [SR TRANSPLANT ASSESSMENT], is
        2008 (SR*3*169).
        
         33945   TRANSPLANTATION OF HEART 
         47135   TRANSPLANTATION OF LIVER
         47136   TRANSPLANTATION OF LIVER
      added to the Surgery Menu [SROMENU] option. This new menu includes the
      following four options:
       
       (1) Enter/Edit Transplant Assessments [SR TRANSPLANT ENTER/EDIT]
      
    • 170 SEQ #164
      DATE APPLIED:   2009-10-07 11:00:19
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses one minor issue, updates the CPT Exclusion List for 
      In October 2003, under the Code Set Versioning Project, the code names,
      descriptions, inactive flags and dates were replaced by versioned data
      elements, each with an effective date of use. Additionally, VA software
      packages who utilize the ICD/CPT files were provided with Code Set
      Application Programmer Interfaces (APIs) to retrieve the new data and
      instructed to discontinue the use of the old un-versioned data elements.
       
      This patch modifies the routine SROCMPED to make use of one of the Code 
      Set APIs to retrieve and display versioned data.
       
      NSQIP, and modifies a data element collected by NSQIP and CICSP. Each is 
      2. The CPT EXCLUSIONS file (#137) stores CPT codes that have been  
      identified by the National Surgical Quality Improvement Program (NSQIP) as
      procedures that should not be risk assessed. This patch updates this file
      with data for fiscal year 2009.
       
      3. The lower range for HEIGHT field (#236) in the SURGERY file (#130)
      collected by the National Surgical Quality Improvement Program (NSQIP) and
      Continuous Improvement in Cardiac Surgery Program (CICSP) has been lowered
      to account for post amputation height of patients with both legs
      amputated.
      explained in more detail.
        
      1. The Health Insurance Portability and Accessibility Act (HIPAA) 
      stipulated that diagnostic and procedure codes and terms used for billing 
      purposes must be the codes and terms that were applicable at the time the 
      service was provided.
       
      
    • 171 SEQ #165
      DATE APPLIED:   2010-05-10 14:44:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      There are two fixes in this patch: The first issue concerns an
      a PRINC. ANESTHESIA TECHNIQUE for their patients.
      UNDEFINED error occurring when trying to enter a DISCHARGE
      FROM PACU (DPACU) time that is earlier than the PATIENT IN ROOM
      (PIR) time even though the date is for the next day under the
      OPERATION INFORMATION option of the NON-CARDIAC ASSESSMENT
      INFORMATION. The second issue is under the same NON-CARDIAC 
      ASSESSMENT INFORMATION option OPERATION INFORMATION and an 
      UNDEFINED error is being generated due to an expected variable
      DA(1) not being set. This prevents users from being able to enter 
      
    • 174 SEQ #166
      DATE APPLIED:   2010-11-15 10:45:02
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch provides the annual updates to the Veterans Health Information 
      - The frequency of transmission of 1-liner cases is changed from the 45th 
        o PREOP CIRCULATORY DEVICE field (#474)
        o ENDOVASCULAR REPAIR field (#505)
        o D/T PATIENT DISCH FROM ICU field (#471)
       
      - Corrections are made to the list of missing items functionality for the
        following fields in the SURGERY file (#130):
        o ANGINA field (#267)
        o CONVERT FROM OFF PUMP TO CPB field (#469)
       
      - TIME OPERATION BEGAN field (#.22) and TIME OPERATION ENDS field (#.23) 
        day past the end of the quarter to the 45th day past the end of the
        are moved from the Operative Risk Summary Data (Enter/Edit) [SROA 
        CARDIAC OPERATIVE RISK] option to the Resource Data [SROA CARDIAC
        RESOURCE] option.
       
      - The list of missing items functionality is updated to remove deleted 
        variables and to include the new variables.
       
      - The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR
        DELAY field (#515) are removed from the Resource Data [SROA CARDIAC 
        RESOURCE] option.
        month.
       
      - Patient gender is added to the information transmitted on 1-liner cases.
       
      - New fields added to SURGERY file (#130):
        o ASSESSMENT COMPLETED BY field (#272.1)
          When a non-cardiac assessment is completed, the user who completed the
          assessment will be identified in this field and the name of the user 
      Systems and Technology Architecture (VistA) Surgery package in support of
          will be transmitted with the assessment.
        o PREOPERATIVE SLEEP APNEA field (#237.1)
          This field is added to the Preoperative Information (Enter/Edit) [SROA
          PREOP DATA] option, the assessment printout, assessment transmission
          and the list of missing items functionality.
       
      - The SURGERY CONSULT DATE field (#513) and the SURGERY CONSULT REQUESTED 
        field (#516) are eliminated as non-cardiac assessment variables.
       
      - This patch updates the CPT EXCLUSIONS file (#137) with data for fiscal 
      the VA Surgery Quality Improvement Program (VASQIP). The updates include
        year 2010.
       
      - Field descriptions are modified in the following fields in SURGERY file 
        (#130):
        o HEIGHT field (#236)
          The description and the input transform are modified.
        o WEIGHT field (#237)
          The description and the input transform are modified.
        o HISTORY OF COPD field (#203)
        o ASCITES field (#212)
      the addition of new data fields, changes to existing fields, changes to 
        o DISSEMINATED CANCER (Y/N) field (#338)
        o INTRAOP DISSEMINATED CANCER field (#443)
        o BLEEDING DISORDERS field (#216)
        o OTHER PROCEDURE field (#.01 of OTHER PROCEDURES multiple field #.42)
        o INTRAOPERATIVE ASCITES field (#446)
        o DVT/THROMBOPHLEBITIS field (#263)
          Note: The description of DVT/THROMBOPHLEBITIS in the PERIOPERATIVE 
          OCCURRENCE CATEGORY file (#136.5) is updated as well.
       
      - On the Operation Information (Enter/Edit) [SROA OPERATION DATA] option:
      data entry screens, changes to reports, and changes to the Surgery Risk 
        o When selecting item #3, CPT Codes (view only), the following note is 
          added to the screen:
             CPT Codes should be verified. If need be, report discrepancies to
             the official CPT coder for surgery.
        o When selecting item #5, Concurrent Procedure, the following note is 
          added to the screen:
             Concurrent Procedure: An additional operative procedure performed
             by different surgical team (i.e., a different specialty/service)
             under the same anesthetic which has a CPT code different from that
             of the Principal Operative Procedure (e.g., fixation of a femur
      Assessment transmissions.
             fracture in a patient undergoing a laparotomy for trauma). This
             field should be verified and, if need be, report discrepancies to
             the official CPT coder for surgery.
             
      - A new entry, N - NONE ASSIGNED, is added to the ASA CLASS file (#132.8).
        The output transform on ASA CLASS field (#1.13) in SURGERY file (#130)
        is modified to allow the display of the new entry.
       
      - The list of missing items functionality is updated to remove deleted 
        variables and to include the new variables.
       
       
      Cardiac Assessment Modifications:
      ---------------------------------
      - The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR DELAY 
        field (#515) are eliminated as cardiac assessment variables.
       
      - New fields added to SURGERY file (#130) as new cardiac variables:
        o PREOP ATRIAL FIBRILLATION field (#509)
          This field is added to the Clinical Information (Enter/Edit) [SROA 
          CLINICAL INFORMATION] option.
      Non-Cardiac Assessment Modifications:
        o PULMONARY VALVE PROCEDURE field (#493)
          This field is added to the Cardiac Procedures Operative Data 
          (Enter/Edit) [SROA CARDIAC PROCEDURES] option.
        o BNP field (#507)
          This field is added to the Laboratory Test Results (Enter/Edit) [SROA 
          LAB-CARDIAC] option.
        o BNP DATE field (#507.1)
          This field is added to the Laboratory Test Results (Enter/Edit) [SROA 
          LAB-CARDIAC] option.
        o POSTOP ATRIAL FIBRILLATION field (#448)
      -------------------------------------
          This field is added to the Outcome Information (Enter/Edit) [SROA 
          CARDIAC-OUTCOMES] option. Associated with this yes/no field is a new 
          entry, POSTOPERATIVE ATRIAL FIBRILLATION, in the PERIOPERATIVE 
          OCCURRENCE CATEGORY file (#136.5).
       
      - The following fields in SURGERY file (#130) are modified:
        o AORTIC VALVE PROCEDURE field (#367)
        o MITRAL VALVE PROCEDURE field (#368)
        o TRICUSPID VALVE PROCEDURE field (#369)
        o FUNCTIONAL HEALTH STATUS field (#240)
      
    • 165 SEQ #167
      DATE APPLIED:   2010-11-18 11:37:42
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch addresses the following problems:
       
      2.  HD238998 - FGH - service block issue on 5th week of month
      When a monthly service block is set for a day in the 4th week, users are
      unable to set a service block for that day in the 5th week of a month.
       
      1.  HD194156 - Input transform for CPT Modifier 51 in Surgery
      The Lexicon package has been working to update the CPT code ranges for 
      the CPT Modifier 51. Part of this update is to include all Surgical 
      Procedures with the exception of those listed in Appendix E of the CPT
      Manual.  During the analysis phase for this project, it was discovered 
      that this unique CPT Modifier carries with it the stipulation that it 
      can not be used in conjunction with the principal procedure.
      
    • 175 SEQ #168
      DATE APPLIED:   2011-08-22 11:21:41
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      This patch provides the VASQIP 2011 Increment 1 to the Veterans Health
      I. General Surgery Updates:
           ANESTHESIA AGENTS Multiple (#130.47) of the ANESTHESIA TECHNIQUE
           Multiple (#130.06)
         - DOSE field (#.1) of the TEST DOSE Multiple (#130.48) of the
           ANESTHESIA TECHNIQUE Multiple (#130.06)
       
      9. The Clean Wound Infection Summary Report is updated to include
         the ORGAN/SPACE SSI field (#488) in the algorithm for calculating the
         clean wound infection rates. For cardiac assessed cases, 
         ENDOCARDITIS field (#386) and MEDIASTINITIS field (#388) will be
         included in the algorithm for calculating the clean wound infection
      --------------------------
         rates.
       
      10. The Perioperative Occurrences Report, under the Morbidity & Mortality 
          Reports [SROMM] option, will be modified to allow three selections as 
          follows:
              1-Intraoperative Occurrences
              2-Postoperative Occurrences 
              3-Intraoperative and Postoperative Occurrences 
       
       
      1. All options under the Quarterly Report Menu [SROQ MENU] are retired
      II. Non-Cardiac Module Updates:
      --------------------------------
      1. A new 30 DAY DEATH field (#342.1) has been added to the
         SURGERY file (#130). This field is added to the Patient 
         Demographics (Enter/Edit) [SROA DEMOGRAPHICS] option and it will 
         indicate operative death has occurred within 30 days of surgery. This
         field will be auto populated based on an entry into the DATE OF DEATH 
         field (#342). If Date of Death occurs within 30 days or less of
         the date in the DATE OF OPERATION field (#.09), then this field is
         automatically updated to "Yes" when the Date of Death is saved. If the
         except the Admissions Within 14 Days of Outpatient Surgery [SROQADM]
         Date of Death is greater than 30 days from the Date of Operation then
         this field is automatically updated to "No" when the Date of Death is
         saved.
       
      2. The data dictionary of the PREOPERATIVE SLEEP APNEA field (#237.1)
         of the SURGERY file (#130) has been changed to allow for an entry of
         "N" for "NONE" on the Preoperative Information (Enter/Edit)
         [SROA PREOP DATA] option. 
       
      3. Update the printed Assessment to now include the field ASSESSMENT
         option, the Report of Missing Quarterly Report Data [SROQ MISSING DATA]
         COMPLETED BY field (#272.1) of the SURGERY file (#130).
       
                                                                  
      III. Cardiac Module Updates:
      ---------------------------
      1. The field name "Myectomy for IHSS" is changed to "Myectomy" in the
         option for the Cardiac Procedures Operative Data (Enter/Edit)
         [SROA CARDIAC PROCEDURES] option and the the Print Assessment Report.
       
      2. The data dictionary of the BRIDGE TO TRANSPLANT/DEVICE field
         option and Deaths Within 30 Days of Surgery [SROQD], which are
         (#481) is modified from the current values of "Yes" and "No" to "None",
         "Bridge to Transplant", and "Destination Therapy"
       
      3. The existing field, WOUND CLASSIFICATION (#1.09), is added to the
         Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE RISK] 
         option. This field has been added to the Cardiac Print Assessment
         Report.
       
      4. The current WOUND DISRUPTION field (#404) of the Surgery file (#130)
         is added to the Outcome Information (Enter/Edit)[SROA CARDIAC-OUTCOMES]
         relocated under the Management Reports [SRO-CHIEF REPORTS] menu.
         option. This information will appear on the Printed Assessment
         Report and added to the Cardiac Transmission.
       
      5. The Clinical Information (Enter/Edit)[SROA CLINICAL INFORMATION] option
         is updated to allow a response of "N" or "NO" at the prompt to update
         all the fields to a negative value except Height, Weight, FEV1, 
         Functional Status, Angina, and CHF.
       
       
      IV. Transplant Module Updates:
       
      -------------------------------
      1. HLA Typing fields in the SURGERY TRANSPLANT ASSESSMENTS file (#139.5)
         across all four organ types are updated to allow entry of 4 digits 
         (#,#,#,#). The Transplant Transmission is also updated.
       
      2. The C-PEPTIDE AT TIME OF LISTING field (#136) of the SURGERY 
         TRANSPLANT ASSESSMENTS file (#139.5) has been changed to allow for a
         value less than 1. When the value is less than 1, it will be displayed
         with a leading zero (i.e., 0.6). 
       
      2. Remove references to "NSQIP" and "CICSP" in field labels and field 
      3. The POST-TX PROPHYLAXIS - TB field (#92) of the SURGERY TRANSPLANT
         ASSESSMENTS file (#139.5) has been updated to allow a value to be
         entered of "N/A". This information is added to the Transmission.
       
      4. The COLD ISCHEMIA TIME FOR ORGAN field (#87) and WARM ISCHEMIA TIME FOR
         ORGAN field (#85) of the SURGERY TRANSPLANT ASSESSMENTS file (#139.5)
         has been added to page #1 of the Enter/Edit Transplant Assessments [SR
         TRANSPLANT ENTER/EDIT] option and to the Print Transplant Assessment
         [SRTP PRINT ASSESSMENT] option for VA and Non-VA heart transplants.
         definitions. When the text is not in the header of a definition, the 
      Information Systems and Technology Architecture (VistA) Surgery package in
         terms "NSQIP" and "CICSP" are replaced with "VASQIP".
       
         The complete list of these fields is listed in the Release Notes 
         manual.
       
      3. Addition of Scheduling Date fields
         The following new fields are added to the SURGERY file (#130):
        - ORIGINAL DESIRED PROCEDURE DATE field (#612)
        - D/T OF DESIRED PROCEDURE DATE ENTRY field (#613)
        - ORIGINAL SCHEDULED DATE field (#614)
      support of the VA Surgery Quality Improvement Program (VASQIP). The
        - D/T OF SCHEDULED DATE ENTRY field (#615)
        - DESIRED PROCEDURE DATE field (#616)
        - SCHEDULED DATE field (#617)
       
      4. Add Time Out Verified Utilizing Checklist
       (a) The following new fields are added to the SURGERY file (#130):
         - CONFIRM PATIENT IDENTITY field (#600)
         - PROCEDURE TO BE PERFORMED field (#601)
         - SITE OF PROCEDURE field (#602)
         - VALID CONSENT FORM field (#603)
      updates include the addition of new data fields, changes to existing
         - CONFIRM PATIENT POSITION field (#604)
         - MARKED SITE CONFIRMED field (#605)
         - PREOPERATIVE IMAGES CONFIRMED field (#606)
         - CORRECT MEDICAL IMPLANTS field (#607)
         - ANTIBIOTIC PROPHYLAXIS field (#608)
         - APPROPRIATE DVT PROPHYLAXIS field (#609)
         - BLOOD AVAILABILITY field (#610)
         - AVAILABILITY OF SPECIAL EQUIP field (#611)
         - CHECKLIST COMMENT field (#85)
           
      fields, changes to data entry screens, changes to reports, changes to the
       (b) The VALID ID/CONSENT CONFIRMED BY field (#.69) has been renamed to
           CHECKLIST CONFIRMED BY.
       
       (c) All the above new fields are added to the new Time Out Verified
           Utilizing Checklist option [SROMEN-VERF], which has been added to the
           Operation Menu [SROPER].
       
       (d) The existing ensuring correct surgery fields (MARKED SITE CONFIRMED
           field (#73), PREOPERATIVE IMAGING CONFIRMED field (#72), TIME OUT
           VERIFIED field (#71), MARKED SITE COMMENTS field (#84), IMAGING
      Surgery Risk Assessment transmissions, and changes to Transplant
           CONFIRMED COMMENTS field (#83), TIME OUT VERIFIED COMMENTS field 
           (#82), and VALID ID/CONSENT CONFIRMED BY field (#.69)) will be
           removed from the following Operation Menu options:
       
           - Operation Startup [SROMEN-START]
           - Operation [SROMEN-OP]
           - Operation (Short Screen) [SROMEN-OUT]
           - Nurse Intraoperative Report [SRONRPT]
       
       (e) The existing ensuring correct surgery fields in the Nurse
      components of the VistA Surgery application.
           Intraoperative Report are replaced with the new Time Out Verified
           Utilizing Checklist fields (the fields listed in item "a" and "b" of
           this section are added).
       
      5. OR Cancellation Report
        - The pre-existing reasons have been inactivated and will not be 
          editable but can be viewed.
        - A new selection list for Cancellation Reasons has been added.
        - The SURGERY CANCELLATION REASON file (#135) will be locked with 
          this patch so it will no longer be editable at sites.
       
        - The Update Site Configurable Files [SR UPDATE FILES] option has been 
          updated to remove the Surgery Cancellation Reasons from the Site 
          Configurable Files.
       
      6. The CPT Code Exclusion list for 2011 has been updated so that the
         surgical package can accurately calculate the VASQIP eligible list
         (affecting the CPT EXCLUSIONS file (#137) and the Workload Report/List
         #9).
       
      7. Two pre-existing fields for the SURGERY file (#130), PRINC
       
         ANESTHETIST field (#.31) and ANESTHESIOLOGIST SUPVR field (#.34), have
         been added to the Non-OR Procedure report.
       
      8. This patch updates the Anesthesia Report and the Nurse Intraoperative
         Report to display values of less than 1 for the fields below with a
         leading zero in reports they are displayed.
       
         - DOSE field (#1) of the MEDICATIONS multiple (#130.33)
         - TIME ADM field (#1) of the TIME ADM multiple (#130.34)
         - DOSE field (#1) and the ANESTHESIA AGENTS field (#.01) of the
      
    • 176 SEQ #169
      DATE APPLIED:   2012-08-29 11:14:41
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      In support of the VA Surgery Quality Improvement Program (VASQIP), this 
         a. Surgery cancellation functionality is modified so that any surgery 
          References to ICD9 are replaced with ICD in the following menu 
          options:
           - CPT/ICD9 Coding Menu [SRCODING MENU]
           - CPT/ICD9 Update/Verify Menu [SRCODING UPDATE/VERIFY MENU]
           - Update/verify Procedure/Diagnosis Codes [SRCODING EDIT]
          
       9. Remove Quarterly Report References
         a. References to "Quarterly Report" are removed from the Deaths Within
            30 Days of Surgery [SROQD] option.
       
            case that is placed on the surgery schedule and then cancelled will 
         b. The routines that provided the Surgery Quarterly Report
            functionality are removed. Those routines are SROQ1, SROQ1A, SROQ2,
            SROQM, SROQM0, SROQM1 and SROQT.
       
      10. Add Superficial Incisional SSI to Cardiac Outcomes
          The SUPERFICIAL INCISIONAL SSI field (#248) in the SURGERY file 
          (#130) is added to the Outcome Information (Enter/Edit) [SROA 
          CARDIAC-OUTCOMES] option, the cardiac assessment transmission and to 
          the cardiac assessment printout.
       
            be retained in the SURGERY file (#130) as a cancelled case
      11. The following routines associated with obsolete functionality are 
          removed: SROAC, SROAC1, SROAC2, SROACCR, SROACRC, SROACS, SROASWAP,
          SROASWP, SROASWP0, SROASWP1, SROASWP2, SROAWSP3, SROASWPD, SRSLOOK,
          and SRSLOOK1.
          
      12. This patch fixes the issue reported by Remedy ticket #528445, where 
          the PREOPERATIVE IMAGES CONFIRMED field (#606) displays the same data
          as MARKED SITE CONFIRMED field (#605).
       
      13. This patch updates the CPT EXCLUSIONS file (#137) with data for 
            regardless of when the case is cancelled. Also, a cancellation
          fiscal year 2012.
            reason is required for every cancellation. Any scheduled case that
            is cancelled will be counted as a cancellation on the Report of
            Cancellations generated by the Report of Cancellations [SROCAN]
            option.
       
         b. The Report of Cancellations, generated by the Report of 
      patch provides the VASQIP Increment 2 update to the Veterans Health 
            Cancellations [SROCAN] option, is modified to group patient data 
            together within specialty so that all cases for a single patient
            will be shown together. The report will also order based on 
            operations so the same operation descriptions will show next to each
            other for the same patient.  
       
       2. Miscellaneous Additions to Risk Assessment Transmissions
         a. The name of the operating room as defined in the HOSPITAL LOCATION 
            file (#44) is added to each cardiac and non-cardiac risk assessment 
            transmission and to each 1-liner case transmission.
      Information Systems and Technology Architecture (VistA) Surgery package.
       
         b. The following four fields in the SURGERY file (#130) are added to
            each 1-liner case transmission and to the list of items checked for
            by the List of 1-Liner Cases Missing Information which is one of the
            reports generated by the List of Surgery Risk Assessments [SROA
            ASSESSMENT LIST] option:
             - TIME OPERATION BEGAN (#.22)
             - TIME OPERATION ENDS (#.23)
             - TIME PAT IN OR (#.205)
             - TIME PAT OUT OR (#.232)
      The updates include the addition of new data fields, changes to existing
       
       3. Positive Drug Screening
          A new POSITIVE DRUG SCREENING  field (#618) is added to the SURGERY 
          file (#130). This field is added to the Preoperative Information 
          (Enter/Edit)[SROA PREOP DATA] option, the Clinical Information 
          (Enter/Edit)[SROA CLINICAL INFORMATION] option and the Print a Surgery
          Risk Assessment [SROA PRINT ASSESSMENT] option. This field is also
          added to the cardiac and non-cardiac risk assessment transmissions and
          is added to the list of missing items functionality.
       
      fields, changes to data entry screens, changes to reports, changes to the
       4. Consolidation of Shared Cardiac, Non-Cardiac and Transplant Fields
          This patch updates various fields in the SURGERY file (#130) and in
          the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) as well as various
          occurrence category descriptions in the PERIOPERATIVE OCCURRENCE
          CATEGORY file (#136.5) so that common items share common definitions.
          This patch also replaces various fields with new fields in order to
          enhance and refine certain data elements that are in common with
          cardiac and non-cardiac risk assessments and transplant assessments.
          All the associated data input options, assessment printouts and
          transmissions are updated accordingly.
      Surgery Risk Assessment transmissions, and changes to transplant
          
          The complete list of updated fields, new fields and replaced 
          fields is in the patch release notes.
          
       5. Add Serial Number for Prosthesis Items
           - Two new fields, LOT NUMBER (#11) and SERIAL NUMBER (#12) are 
             added to the PROSTHESIS INSTALLED multiple field (#.47, sub-file 
             #130.01) to replace the existing LOT/SERIAL NO field (#2.5). The 
             Operation [SROMEN-OP] option and the Nurse Intraoperative Report 
             [SRONRPT] option are updated to allow editing and display of these
      components of the VistA Surgery application.
             two new fields.
           - LOT NUMBER field (#8) and SERIAL NUMBER field (#9) are added to
             the PROSTHESIS file (#131.9). The Update Site Configurable Files
             [SR UPDATE FILES] option is modified to allow editing of these new
             fields and to disallow editing of the LOT/SERIAL NO field (#4) and
             the STERILE CODE field (#3).
             
       6. Flash Sterilization
          Six new fields are added to the SURGERY file (#130) to document the
          number of episodes of each type of flash sterilization that happened
       
          for an operation:
           - FLASH-CONTAMINATION (#619)
           - FLASH-SPD/OR MGT ISSUE (#620)
           - FLASH-EMERGENCY CASE (#621)
           - FLASH-NO BETTER OPTION (#622)
           - FLASH-LOANER INSTRUMENT (#623)
           - FLASH-DECONTAMINATION (#624)
             
          The Post Operation [SROMEN-POST] option and the Nurse Intraoperative
          Report [SRONRPT] option are updated to allow editing and display of
       1. Surgery Cancellation Modifications
          these two new fields.
          
       7. 30-Day Readmission
          This patch creates a transmission report that lists inpatient 
          surgery cases which were followed by the patient being readmitted 
          within 30 days of discharge. This report is run by the Surgery 
          Nightly Cleanup and Updates [SRTASK-NIGHT] option and will transmit to
          the VASQIP database automatically each quarter.
          
       8. Update ICD9 to ICD
      
    • 173 SEQ #170
      DATE APPLIED:   2012-08-29 12:02:31
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
       
      This patch addresses the following issues:
       
      (1) Users are receiving an UNDEFINED error at SRHLXTMP+7^SRHLXTMP when
      their system runs the nightly task SRTASK-NIGHT option. (2) A user 
      reported that addendums created in VistA are not always being 
      transmitted to CPRS. The reason being it appears that TIU BUSINESS RULES
      for certain document types or user classes are being created which can
      cause unforeseen issues.
      
    • 177 SEQ #172
      DATE APPLIED:   2014-08-18 12:03:11
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The International Classification of Diseases, Tenth Revision (ICD-10) 
      characters. This value does not include the decimal point, which follows 
      the third character for the ICD-10-CM code set. There is no decimal point 
      in the ICD-10-PCS code set. 
      These code sets have the potential to reveal more about quality of care, 
      so that data can be used in a more meaningful way to better understand 
      complications, better design clinically robust algorithms, and better 
      track the outcomes of care. ICD-10-CM also incorporates greater 
      specificity and clinical detail to provide information for clinical 
      decision making and outcomes research.
       
      Class 1 Software Remediation project replaces the 30-year-old set of 
      The only noticeable difference users may see will occur when a specific 
      ICD diagnosis code descriptor changes based on the date of operation for 
      the case.
      diagnosis and procedure codes (ICD-9-CM) that medical personnel use. 
      Dates of service, or dates of discharge for inpatients, that occur on or 
      after October 10, 2013 will use the ICD-10 code set. Clinical Modification
      (ICD-10-CM) diagnosis codes increase from about 13,000 ICD-9 codes to 
      more than 68,000. Procedure Coding System (ICD-10-PCS) procedure codes 
      increase from about 3,800 ICD-9 codes to nearly 87,000. Both systems also 
      expand the number of characters allotted to seven alpha-numeric 
      
    • 178 SEQ #173
      DATE APPLIED:   2014-10-31 15:56:19
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
        This patch will correct the following issues currently occurring in
        Next, the FIELD field (#2) for the ATTENDING CODE entry of the Surgery
        Interface Parameter file (#133.2) points to the ATTENDING CODE field
        (#.165) of the SURGERY file (#130) which is no longer used.  It should
        point to ATTENDING CODE field (#.166) of the SURGERY file.
       
       
        Finally, when printing the 'LONG' form version of an operation request
        for a particular surgical specialty in the Operation Requests for a
        Day [SROP REQ] option in the Surgery Menu, a site noticed the Case
        Order number is not displaying correctly.
        the VistA Surgery application:
       
        In the Surgery option Exclusion Criteria (Enter/Edit) [SR NO
        ASSESSMENT REASON] when users try to enter exclusion criteria
        beginning with 'EXCEEDS' at the 'Reason an Assessment was not
        Created:' prompt, the response 'EXCEEDS MAX ASSMNTS' is always
        always displaying no matter what the user has entered/selected.
       
      
    • 68 SEQ #65
      DATE APPLIED:   1997-09-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*68 - July 97 Fixes and Updates
      
    • 182 SEQ #174
      DATE APPLIED:   2015-01-06 11:49:15
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under SR*3*182.
      
    • 184 SEQ #175
      DATE APPLIED:   2016-01-08 11:53:02
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under SR*3*184.
      
    • 185 SEQ #176
      DATE APPLIED:   2016-03-23 11:53:57
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The patch addresses two (2) issues:
           values have been added to the SET of allowable choices ("1" FOR 
           SAME DAY, "2" FOR ADMISSION, "3" FOR HOSPITALIZED).
       
      1.   During transmission of Surgery Risk Assessments, an UNDEF error 
           occurs when routine SROATMNO calls routine ADM1^SROAPIMS without
           initializing the needed local variable SRSOUT.
       
      2.   Routines that generate the Report of Non-O.R. Procedures [SRONOR]
           need to be modified to recognize recent modifications to the 
           IN/OUT-PATIENT field (#.011) in the SURGERY FILE (#130): three (3)
      
    • 186 SEQ #177
      DATE APPLIED:   2016-05-04 12:53:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The patch addresses two (2) issues:
           caret ("^") to escape the edit session prior to completion, the
           application erroneously adds a field delimiter to the selected
           category record in the SURGERY INTERFACE PARAMETER File (#133.2).
       
      1.   When a user edits the PROSTHESIS INSTALLED data for a completed
           surgery case using the Operation option [SROMEN-OP] of the
           Operation Menu option [SROPER] of the Surgery Menu option
           [SROMENU] and answers "NO" when prompted to create an addendum,
           an application error occurs.
       
      2.   When a user edits Surgery Flag Interface Fields and enters a
      
    • 188 SEQ #178
      DATE APPLIED:   2017-01-06 12:56:24
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The patch addresses three (3) issues:
      3.   Users are unable to enter a D Code (Dental) in the PLANNED 
           PRINCIPAL PROCEDURE field (#27) of the SURGERY file (#130) using
           the Non-O.R. Procedure option [SRONOP] in the Surgery package.
       
      1.   Cases aborted prior to the release of SR*3.0*184 are displayed as 
           "CANCELLED" in the Operation Menu option [SROPER].
       
      2.   Nurses are unable to sign their Nurse Intraoperative Report (NIR) 
           in the Surgical Package when the case has been aborted using the 
           Abort/Cancel Operation option [SROABRT].
       
      
    • 187 SEQ #179
      DATE APPLIED:   2017-02-24 17:03:17
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The patch addresses four (4) issues:
      3. Surgery Post Operation and CPT/ICD Update/Verify options incorrectly
         allow CPT Modifier 51 to be entered on the Principle Procedure.
      4. The Surgery Schedule of Operations report truncates the patient 
         name inappropriately when its length is great than 23 characters.
       
      1. When Surgery sends HL7 (Health Level-7) DG1 (Diagnosis) Segments to
         Ancillary systems, messages with other preoperative diagnoses have
         an incorrect value for the ICD diagnosis code.
      2. When a Wound Classification Report is generated at an institution 
         that has only one (1) Active surgery site and the Active site isn't 
         the installation's default institution, the report displays no data 
         regardless of the date range selected.
      
    • 189 SEQ #180
      DATE APPLIED:   2017-03-10 12:42:01
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Patch SR*3.0*189 addresses the following Surgery issue:
       
        1. The SURGERY file (#130) ADT and ARS cross references do not merge 
      during a patient merge.
      
    • 190 SEQ #181
      DATE APPLIED:   2018-02-28 16:49:07
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      The patch addresses one (1) issues:
       
      1.   Under certain conditions, the transplant/donor section is not
           displayed on the Nurse Intraoperative Report (NIR)
      
    • 193 SEQ #183
      DATE APPLIED:   2019-04-02 17:16:30
      APPLIED BY:   USER,FIFTYFOUR
      DESCRIPTION:   
      Preoperative CVD data fields assigned invalid values
      
    • 194 SEQ #182
      DATE APPLIED:   2019-05-30 12:49:49
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      HOSPITAL ADMISSION STATUS field defaults to an inactive code
      
    • 71 SEQ #66
      DATE APPLIED:   1997-11-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      National Surgical Quality Improvement Program (NSQIP) enhancements patch.
      
    • 195 SEQ #184
      DATE APPLIED:   2019-08-19 12:04:46
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The description of this build can be found in the National Patch Module 
      under SR*3*195.
      
    • 196 SEQ #185
      DATE APPLIED:   2020-01-15 12:27:30
      APPLIED BY:   USER,SIXTYFIVE
      DESCRIPTION:   
      The patch addresses one (1) issue:
       
      1.   When the MAKE OPERATION REQUEST [SROOPREQ] option is used to 
           delete an outstanding surgery request with a concurrent case 
           request, the user is asked if they want to delete the concurrent
           case and defaults to "yes". If the user accepts the default the
           outstanding request AND concurrent cases are deleted regardless
           whether the concurrent case is completed case.
      
    • 201 SEQ #186
      DATE APPLIED:   2020-11-23 10:09:58
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The patch addresses two (2) issue:
           schedule the same case for different times or rooms and block 
           those resources from other users.
       
      1.   When a POSTOP OCCURRENCE for "OUT-OF-OR UNPLANNED INTUBATION 
           W/IN 30 DAYS" is entered and then deleted, the printed risk 
           assessment improperly displays "NO DATE" rather than "NO" for
           the occurrence.
       
      2.   When two (2) users accidently attempt to schedule or reschedule
           an operation for the same patient, they can inadvertently 
      
    • 202b
      DATE APPLIED:   2021-06-23 00:00:00
      DESCRIPTION:   
      Backup of SR*3.0*202 on Jun 23, 2021
       
      Warning:  Installing this backup patch message will install older versions
      of routines and Build Components (options, protocols, templates, etc.).
      Please verify with the Development Team that it is safe to install.
      
    • 202 SEQ #187
      DATE APPLIED:   2021-06-23 11:33:47
      APPLIED BY:   USER,SEVENTEEN
      DESCRIPTION:   
      The patch will address the following issue: 
       
      The CPT EXCLUSIONS file (#137) needs to be updated for fiscal year 2021 
      (FY21).
      
    • 70 SEQ #67
      DATE APPLIED:   1997-11-18 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*70 - September 97 Fixes
      
    • 76 SEQ #68
      DATE APPLIED:   1998-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch removes the SURGEON'S OPERATION TIMES file (#131.2) from your
      system. This file has been obsolete since the release of Surgery V. 3.0 in
      1993.
      
    • 72 SEQ #69
      DATE APPLIED:   1998-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies the routine ^SROCODE used for flagging anesthesia
      enhanced to create a background task for performing this function.
      agents. With the release of Pharmacy Data Management V. 1.0, existing
      calls to the Inpatient Medications routine ^PSGIU will be replaced by
      the Pharmacy Data Management routine ^PSSGIU.  This modification allows
      the function to work with or without the installation of Pharmacy
      Data Management V. 1.0.
       
      This patch also modifies the routine ^SROXR1 which is used for canceling
      IV orders upon start of a surgical procedure. This routine has been
      
    • 73 SEQ #70
      DATE APPLIED:   1998-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains modifications to routines used to file information to
      between Surgery and Order Entry/Results Reporting will be reestablished. A
      future patch will be necessary when that time comes.
      OE/RR. Changes will allow the software to function in it's current form
      when using Order Entry/Results Reporting V2.5, but will inactivate the
      interface for sites using CPRS and Order Entry/Results Reporting V3.0. The
      interface for Surgery used within Order Entry/Results Reporting V2.5 is
      not supported with CPRS and Order Entry/Results Reporting V3.0, causing
      errors when using the Surgery software.
       
      At the time of release of this patch, it is unclear when the interface
      
    • 75 SEQ #71
      DATE APPLIED:   1998-01-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*75 - DELAYED OP REPORT COMMENTS ERROR
      
    • 78 SEQ #72
      DATE APPLIED:   1998-02-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies the routines SROCON and SROCON1 used in creating the
      data to be stored in Concurrent Cases. A problem was discovered when a
      free text field contained a semi colon (;). The patch resolves this
      problem.
      
    • 55
      DATE APPLIED:   1997-01-22 00:00:00
      APPLIED BY:   USER,ONE
    • 77
      DATE APPLIED:   1998-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Patch SR*3*77 provides software renovations related to Y2K (Year 2000)
      compliance.
      
    • 74
      DATE APPLIED:   1998-06-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch contains a new option [SR BLOOD PRODUCT VERIFICATION] within
       selected product is not associated with the patient identified, the
       warning message will be displayed.
       
       A new option called [SR BLOOD PRODUCT VERIFY AUDIT] is included to allow
       auditing of the option above. It has been placed on the "Chief of Surgery
       Menu" on the "Management Reports Menu".
       
       After installing this patch, IRM needs to turn on the KERNEL Audit Option
       by invoking the option, [XUAUDIT] for the new option exported with this
       patch [SR BLOOD PRODUCT VERIFICATION]. The expiration date for the audit
       the VistA Surgery package which will be used for transfusion error risk
       should be set to a date 100 years into the future.
       management. The new option is contained on the Surgery "Operations Menu".
       The option performs the following function; after scanning the blood unit
       ID, the software will check for an association with the patient
       identified. If there are multiple entries with the Unit ID scanned, these
       entries will be listed along with the Blood Component, Patient
       Associated, and Expiration Date. The user will then be prompted to select
       the one that matches the blood product about to be administered.  If the
      
    • 41
      DATE APPLIED:   1998-07-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The Surgery Interface is a generic interface that sends and receives
      Surgery and Patient information by way of the VistA HL7 package.  The
      interface consists of QRY (Query), ORU (Observation Results Unsolicited),
      and ZIU (Scheduling Information Unsolicited) messages.  Certain specified
      information is sent from the interface based on trigger events in the
      VistA Surgery package.
      
    • 79 SEQ #76
      DATE APPLIED:   1998-07-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       This patch adds "ORAL" as a medications route to the set of codes within
       This patch modifies the routine SROXR1 to correct a problem at entry
       point IV with an undefined variable 'Y' and converts a read/write at
       entry point IV1 to a FileMan call.
       Surgery file (#130) and modifies the routine SROMED to reflect this
       addition.
       
       This patch also changes the definition of the field Major/Minor
       per Dr. Gerald McDonald, Acting Director, Surgical Service, VACO and the 
       National Surgical Quality Improvement Program (NSQIP) Executive
       Committee.
       
      
    • 83 SEQ #77
      DATE APPLIED:   1998-08-31 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is Surgery patch SR*3*83.
      
    • 82 SEQ #78
      DATE APPLIED:   1998-10-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies one Surgery routine, SROQM, which is used to transmit
      mail messages related to the Quarterly Report.  Current code, while it
      works properly, needs to be updated based on guidance received from the
      MailMan development team.  The changes included in this patch should be
      transparent.
      
    • 80 SEQ #79
      DATE APPLIED:   1998-10-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects an undefined variable condition when the OERR Task
      Order Purge option [ORTASK PURGE] runs after installing patch SR*3*41.
      This patch also reinstalls the protocols included in patch SR*3*41.  The
      install process for SR*3*41 did not properly update HL7 related fields for
      these protocols in virgin installs.
      
    • 50
      DATE APPLIED:   1998-10-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is Surgery patch SR*3*50, REPORTS BY DIVISION & OTHER FIXES.
      
    • 84 SEQ #81
      DATE APPLIED:   1998-12-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery Patch SR*3*84 - XQUIT Processing
      
    • 81 SEQ #82
      DATE APPLIED:   1998-12-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*81 - NSQIP/VHA Directive 98-025
      
    • 61 SEQ #56
      DATE APPLIED:   1997-01-22 00:00:00
      APPLIED BY:   USER,ONE
    • 85 SEQ #83
      DATE APPLIED:   1999-02-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies one Surgery routine, SRBLOOD.  This routine is used by
      the Blood Product Verification option [SR BLOOD PRODUCT VERIFICATION].
      It is possible, but rare, that this routine could result in a software
      error when reading the Blood Unit ID. This patch eliminates the potential
      hole in the logic.
      
    • 86 SEQ #84
      DATE APPLIED:   1999-03-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is Surgery patch SR*3*86.
      
    • 87 SEQ #85
      DATE APPLIED:   1999-03-16 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The changes included in this patch are described in the description
      of patch SR*3*87 in the National Patch Module.
      
    • 89 SEQ #86
      DATE APPLIED:   1999-06-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch enhances the API written for the Imaging software. It updates
      the data to use a 4-digit year format when sending the DATE OF OPERATION
      field (#.09) from the SURGERY file (#130).  Changes have also been made to
      provide the total number of images associated with the surgery case.
      
    • 91 SEQ #87
      DATE APPLIED:   1999-07-19 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
       Under some circumstances, incorrect nursing personnel were appearing on
       the Operation Report when using the option Batch Print Transcripted
       Operation Notes [SRSTRANS PRINT]. The problem occurs when a previous case
       in the batch has more entries for the fields OR SCRUB SUPPORT (#.112) or
       OR CIRC SUPPORT (#.111) of the SURGERY file (#130).
      
    • 90 SEQ #88
      DATE APPLIED:   1999-08-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Information from the STROKE/CVA field (#256) of the SURGERY file (#130)
      $J.
       
      3. The list of station numbers that identify medical centers that perform
      cardiac surgery is updated in the routine SROAUTLC, replacing 525
      (Brockton/West Roxbury) with 523 (Boston).  This routine is further
      modified updating several reads and writes with calls to ^DIR and
      EN^DDIOL.
      was not correctly extracted for cardiac risk assessments. This patch
      corrects the problem.  The patch also provides a post-installation routine
      to retransmit missing information for all surgical cases in which the
      STROKE/CVA field (#256) was answered "YES".
       
      2. This patch updates the cardiac assessment transmission routines
      (SROATCM, SROATCM1 and SROATCM2) so that in references to the global ^TMP
      the first two subscripts are a package namespaced subscript followed by
      
    • 88
      DATE APPLIED:   1999-12-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*88 provides the ability to enter CPT modifiers and
      provides for displaying these CPT modifiers on screens and reports that
      display CPT codes within the Surgery package.  The patch also includes
      several software updates related to NSQIP and multi-division facilities.
      
    • 93 SEQ #90
      DATE APPLIED:   2000-04-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The cardiac risk assessment transmission routines SROATCM, SROATCM1 and
       
      This patch includes a post-install process that will transmit the added
      pieces of information for all cardiac assessments that have already
      transmitted.
       
      2. For cardiac assessments, when using the Resource Data [SROA CARDIAC
      RESOURCE] option or the Update Assessment Status to 'COMPLETE' [SROA
      COMPLETE ASSESSMENT] option, if the admission date is later than the
      discharge date, the following message will be displayed on the screen:
       
      SROATCM2 are modified by this patch to do the following:
        ***  NOTE: Discharge Date precedes Admission Date!!  Please check.  ***
       
      Similarly, when using the Cardiac Procedures Requiring CPB (Enter/Edit)
      [SROA CARDIAC PROCEDURES] option or the Update Assessment Status to
      'COMPLETE' [SROA COMPLETE ASSESSMENT] option, if the ischemic time is
      greater than the CPB (cardiopulmonary bypass) time, the following message
      will be displayed on the screen:
       
        ***  NOTE: Ischemic Time is greater than CPB Time!!  Please check.  ***
       
       
      These changes require modifications to the routines SROACAR, SROACPM,
      SROACR1 and SROACOM.
       
      3. The non-cardiac transmission routines SROATM1 and SROATMNO are modified
      by this patch to add to the transmissions the entry in the INTUBATED ?
      (Y/N) field (#42) for the principal anesthesia technique defined in the
      ANESTHESIA TECHNIQUE multiple field (#.37) in SURGERY file (#130).
       
      This patch includes a post-install process that will transmit this added
      piece of information for all FY2000 cases that have already transmitted.
         a. For both the admission and the discharge movements associated with
       
      4. The routine SRSUP1 is modified to correct the problem described in NOIS
      DAY-0200-41350.
         the assessed operation, the entry in the TRANSFER FACILITY field (#.05)
         in the PATIENT MOVEMENT file (#405) is added to the transmission.
       
         b. The patient's address, including street address, city and state, and
         the patient's phone number are added to the transmission.
      
    • 92 SEQ #91
      DATE APPLIED:   2000-04-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. When using the option Print Surgery Waiting List [SRSWL2] to print the
       
      3. The options Operation Requests for a Day [SROP REQ] and Report of Missing
      Quarterly Report Data [SROQ MISSING DATA] are updated to make the reports
      print by division.  This change requires that the following routines be
      modified: SROPREQ, SROQN, SROREQ, SROREQ1, SROREQ2, SROREQ3 and SROREQ4.
       
      4. When entering a request for an operation, if the normal request deadline
      falls on a holiday, the method used by the software to recalculate the
      deadline to allow for the holiday is problematic.  (See NOIS BAY-0100-31625.)
      This patch modifies the routines SRSCAN2 and SRSREQ.  After installing this
      brief form by tentative date of operation, entering "^" to quit may not work.
      patch, if the normal request deadline falls on a holiday, the software will
      use the deadline for the closest valid scheduling date prior to the operation
      request date.
      (See NOIS ALB-1199-52220.)  This patch modifies the routines SRSWL12 and
      SRSWL14 to correct the problem.
       
      2. The Monthly Surgical Case Workload Report [SROA MONTHLY WORKLOAD REPORT]
      option may generate an error if the report is run for a month prior to
      October 1995.  (See NOIS TAM-1299-31004.)  The routine SROAWL1 is modified to
      correct the problem.
      
    • 94 SEQ #92
      DATE APPLIED:   2000-06-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch modifies the routine SROASSP adding the call to %ZISC to close
      3. The routines SROREST and SROIRR are modified to correct the problem
      described in NOIS V02-0400-N0176.  When using the option Enter Irrigation and
      Restraints [SROMEN-REST], if the number of active entries in the IRRIGATION
      file (#133.6) or in the RESTRAINTS AND POSITIONAL AIDS file (#132.05) is
      greater than 36, items will be displayed on multiple screen pages with no
      more than 36 items per page.                                              
       
      4. Before installing this patch, if the nurse reviewer used the option
      Non-Cardiac Assessment Information (Enter/Edit) [SROA ENTER/EDIT] or the
      option Cardiac Risk Assessment Information (Enter/Edit) [SROA CARDIAC
      the printer device.  This change fixes the problem described by NOIS
      ENTER/EDIT] to update a risk assessment that was already transmitted, the
      software required the nurse reviewer to go to the option Update Assessment
      Completed/Transmitted in Error [SROA TRANSMITTED IN ERROR] to change the
      assessment status to incomplete before updating was allowed.  After installing
      this patch, if the nurse reviewer attempts to update a risk assessment using
      the option Non-Cardiac Assessment Information (Enter/Edit) [SROA ENTER/EDIT]
      or the option Cardiac Risk Assessment Information (Enter/Edit) [SROA CARDIAC
      ENTER/EDIT], the option will allow the nurse reviewer to change the assessment
      status to incomplete without having to go to another option first.  The
      routine SROASS is modified to provide this change.
      TAM-0300-32135 and NOIS ALB-0200-51214.
       
      5. Obsolete code used originally to check for old Surgery Risk Assessment data
      was removed from the routine SROASS.  This code was called by the entry action
      of 6 options whose entry actions are also updated by this patch.  Those 6
      options are listed below.
       
         Exclusion Criteria (Enter/Edit) [SR NO ASSESSMENT REASON]
         List of Surgery Risk Assessments [SROA ASSESSMENT LIST]
         Non-Cardiac Assessment Information (Enter/Edit) [SROA ENTER/EDIT]
         Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT]
       
         Print 30 Day Follow-up Letters [SROA REPRINT LETTERS]
         Update Assessment Completed/Transmitted in Error [SROA TRANSMITTED IN ERROR]
       
      6. This patch modifies the routines SRODLAY, SRODLA1, SRODLA2, SROREAS,
      SROREA1, SROREA2, SRODLT, SRODLT0, SROCAN, SROCAN0, SROCRAT, SRORAT1 and
      SRORAT2 allowing the following report options to print reports for all
      divisions or for a selected division:
         Report of Delayed Operations [SRODELA]
         Report of Delay Reasons [SROREAS]
         Report of Delay Time [SRO DELAY TIME]
      2. The routine SRSDISP is modified to allow the display of the first 8
         Report of Cancellations [SROCAN]
         Report of Cancellation Rates [SROCRAT]
       
      7. This patch updates the data dictionary for the following fields in
      SURGERY file (#130) to require the inclusion of at least one space in
      every 31 characters of input.  See NOIS HVH-0500-10303.  
       
         OTHER PREOP DIAGNOSIS multiple field (#.72, sub-file #130.17)
             OTHER PREOP DIAGNOSIS field (#.01)
         OTHER POSTOP DIAGS multiple field (#.74, sub-file #130.18)
      characters of the name of the operating room on the operating room
             OTHER POSTOP DIAGS field (#.01)
         PRINCIPAL PRE-OP DIAGNOSIS field (#32)
         PRINCIPAL DIAGNOSIS field (#33)
         PRINCIPAL POST-OP DIAGNOSIS field (#34)
      availability display graph.  This change is made in response to NOIS
      GNH-0300-42659
       
      
    • 48
      DATE APPLIED:   1997-01-22 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch installs the SURGERY DISPOSITION file (#131.6), converts the
      three disposition fields to point to this file and updates reports that
      access disposition data.
      
    • 95 SEQ #93
      DATE APPLIED:   2000-11-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides enhancements in support of the Continuous Improvement
      in Cardiac Surgery Program Expansion (CICSP-X). 
      See Patch SR*3*95 in the National Patch Module for description of the
      Build.
      
    • 97 SEQ #94
      DATE APPLIED:   2001-02-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      See Patch SR*3*97 in the National Patch Module for description of the
      Build.
      
    • 98 SEQ #95
      DATE APPLIED:   2001-02-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      See patch SR*3*98 in the National Patch Module for description of this
      build.
      
    • 99 SEQ #96
      DATE APPLIED:   2001-03-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The input screen of the Cardiac Procedures Requiring CPB (Enter/Edit)
         expands to "RI-Remains in ICU at 30 days" when entered for D/T PATIENT
         EXTUBATED field (#470) in the SURGERY file (#130). Actually, it should
         expand to "RI-Remains intubated at 30 days". This patch fixes this
         problem.
         [SROA CARDIAC PROCEDURES] option, for the BATISTA PROCEDURE USED field
         (#439) the screen displays what is in the MISC. CARDIAC PROCEDURES
         field (#375) of the SURGERY file (#130). This patch fixes this problem.
       
      2. The cardiac assessment transmission is modified to include the
         patient's date of birth.
       
      3. On the Resource Data [SROA CARDIAC RESOURCE] option, the code "RI"
      
    • 101 SEQ #97
      DATE APPLIED:   2001-04-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. On the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option,
         this patch rewords the message to read "Today's date exceeds the blood
         product expiration date.".
         the code "RI" expands to "RI-Remains in ICU at 30 days" when entered
         for D/T PATIENT EXTUBATED field (#470) in the SURGERY file (#130).
         Actually, it should expand to "RI-Remains intubated at 30 days". This
         patch fixes this problem.
       
      2. On the Blood Product Verification [SR BLOOD PRODUCT VERIFICATION]
         option, if the blood unit is expired the system displays the worning
         message "Blood Product Expiration Date is later than today's date.",
      
    • 102 SEQ #98
      DATE APPLIED:   2001-05-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch modifies the RISK ASSESSMENT IN USE (Y/N) field (#15) in the
         controls access based upon the sites default institution station number.
       
      2. This patch fixes the problem reported in NOIS SDC-0301-62902 to prevent
         the undefined variable error that may occur when completing a
         non-cardiac risk assessment.
         SURGERY SITE PARAMETERS file (#133), changing the name of the field to
         CARDIAC RISK ASSESSMENT IN USE(Y/N).  After installing this patch, the
         entry action on the Cardiac Risk Assessment Information (Enter/Edit)
         [SROA CARDIAC ENTER/EDIT] menu will check this parameter field to
         determine if menu access is allowed. This parameter may be edited using
         the Surgery Site Parameters (Enter/Edit) [SROPARAM] option on the Surgery 
         Package Management Menu [SRO PACKAGE MANAGEMENT].  This change enables
         local control of menu access and replaces the current function that 
      
    • 103 SEQ #99
      DATE APPLIED:   2001-08-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. As reported in NOIS DUR-0501-32617, the value in the DATE/TIME OR
      2. NOIS CPH-0601-41315 reported that the Surgery Quarterly Report is
      continuing to use inactive CPT codes in the Index Procedures section of
      the report.  This patch modifies the routine SROQ0A, replacing the 3
      inactive CPT codes (56340, 56341 and 56342) with the 3 replacement codes
      (47562, 47563 and 47564).  The post-install process will task the
      Quarterly Reports for the past reporting periods of FY 2001 to transmit
      again.
      REQUEST MADE field (#1.098) in SURGERY file (#130) occasionally includes
      trailing zeros that cause the exclusion of such values when sorting by a
      date range.  This patch modifies the routines SRSCAN0, SRSCAN2, SRSCHUN,
      SRSDT and SRSRQST so that trailing zeros will be removed before the value
      is stored.  A post-install process will loop through SURGERY file (#130)
      and remove any trailing zeros in the DATE/TIME OR REQUEST MADE field
      (#1.098).
       
      
    • 96 SEQ #100
      DATE APPLIED:   2001-08-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch modifies routine SROPRPT, adding the call to HOME^%ZIS to
         fix the error "DEVICE OR FILE NOT OPEN" that occurs occasionally due to
         the printer device not being closed prior to running the Operation
         Report [SROSRPT] option.
       
      2. This patch fixes the problem reported in NOIS PUG-0701-50135, of an
         extrinsic function call in routine SROAUTLC which quits without a
         value.
      
    • 104 SEQ #101
      DATE APPLIED:   2001-11-06 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch fixes the Undefined Error reported on NOIS LAH-0901-60445.
         The error is generated as a result of not killing variable DR before
         calling Surgery screen server routine SRCUSS.
       
      2. When using the Delete Service Blockout [SRSBDEL] option at a
         multi-division facility, it was reported that this option displays all
         operations, where as it should display only those operations for the
         selected division. This patch fixes this problem.
      
    • 105 SEQ #102
      DATE APPLIED:   2002-01-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch corrects the problem described in NOIS UNY-1101-11002 and NOIS 
       
      This patch adds the following new fields to store responses to the MST and 
      HNC classification questions that will be passed to PCE with the other 
      surgical encounter information:
       - File: SURGERY (#130)
         Field: MILITARY SEXUAL TRAUMA  (#.022)      SET
         Description: This field will be used to indicate if this surgery or non-OR
                      procedure is treating a VA patient for a problem that is
                      related to Military Sexual Trauma.  This information may be 
                      passed to the VISIT file (#9000010) for use by PCE.
      HAM-1101-21180.
       
         Field: HEAD AND/OR NECK CANCER (#.023)         SET
         Description: This field will be used to indicate if this surgery or non-OR
                      procedure is treating a VA patient for a problem that is 
                      related to Head and/or Neck Cancer.  This information may be 
                      passed to the VISIT file (#9000010) for use by PCE.
       
       - File: SURGERY WAITING LIST (#133.8)
         Field: PATIENT (#1) (Multiple, sub-file #133.801)
         Sub-Field: MILITARY SEXUAL TRAUMA (#21)     SET
       
         Description: This field will be used to indicate if this surgery is 
                      treating a VA patient for a problem related to military 
                      sexual trauma.  This information may be passed to the VISIT
                      file (#9000010) to be used by PCE.
       
         Sub-Field: HEAD AND/OR NECK CANCER (#22)       SET
         Description: This field will be used to indicate if this surgery is 
                      treating a VA patient for a problem related to Head and/or
                      Neck Cancer.  This information may be passed to the VISIT
                      file (#9000010) to be used by PCE.
      2. This patch modifies the Surgery software to include the Military Sexual 
      Trauma (MST) classification question and the Head and/or Neck Cancer (HNC) 
      classification question on the list of potential classification questions 
      that must be answered on ambulatory surgeries that are passed to PCE if the 
      Surgery interface to PCE is turned on and the ASK CLASSIFICATION QUESTIONS 
      field (#19) in SURGERY SITE PARAMETERS file (#133) is set to YES.
      
    • 62 SEQ #58
      DATE APPLIED:   1997-03-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery Patch SR*3*62.
      
    • 106 SEQ #103
      DATE APPLIED:   2002-03-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. It was reported that, when using the Report of Unscheduled Admissions
         characters, but no spaces in the  next 80 or more  characters after the
         last space, the software would loop, causing the job to hang. This
         patch fixes this problem.
         to ICU [SROICU] option, if the site is a multi-division facility, this
         report populates the data from all the divisions. This patch modifies
         the routines SROICU, SROICU1, and SROICU2 to enhance printing of this
         report to be a division specific.
       
      2. When using the Nurse Intraoperative Reprot [SRONRPT] option, there is a
         problem which causes the job to hang.  If the NURSING CARE COMMENTS
         field (#.29) of the SURGERY file (#130) contains spaces in the first 78
      
    • 108 SEQ #104
      DATE APPLIED:   2002-10-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The calls to the Imaging (MAG) V 1.0 package software that are in the
         patch fixes this problem.
       
      3. It was observed that when editing any multiple fields via the Surgery
         Screen Server Utility it's currently not allow editing of any multiple
         fields if those fields have only the top level field (.01) in the Input
         Template. This patch will ensure that such fields are editable.
         Surgery routines were added to those routines by patch SR*3*66 to
         facilitate the use of the Imaging software. These calls are obsolete,
         any reference to those calls will cause the software to generate an
         error.  This patch removes all of these references.
       
      2. It was reported that the REQ FROZ SECT field (#1.02) in the SURGERY
         file (#130) is not printed when generating the Operating Room
         Schedule report using the Schedule of Operations [SROSCH] option. This
      
    • 110 SEQ #105
      DATE APPLIED:   2002-10-25 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch exports a new "AOE" cross-reference to the TIME PAT OUT OR
      field (#.232) in the SURGERY file (#130). The new cross-reference will
      allow the Computerized Patient Record System (CPRS) to automatically
      discontinue or release orders when patient leaves the Operating Room.
      
    • 109 SEQ #106
      DATE APPLIED:   2002-12-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In preparation for the VistA Blood Establishment Computer Software 
      post-install routine. A mail message will be sent to the person who 
      started the installation to let them know the conversion is complete and 
      any problems that were encountered. The subject of the message will be: 
      SURGERY POINTER CONVERSION COMPLETED. Please note: if problems were 
      encountered, the message will contain information on correcting the 
      problems and re-running the conversion. However, it is not required to do 
      this. Just be aware that these entries will now simply display as a 
      number.
      (VBECS), changes are necessary in the Surgery V. 3.0 package. Any 
      reference to the blood bank information needs to be modified to prepare 
      for the VBECS release. This patch makes these modifications.
       
      As a part of these changes, it is necessary to convert the existing data. 
      Pointers from the SURGERY SITE PARAMETERS file (#133) and the SURGERY 
      file (#130) that reference the BLOOD PRODUCT file (#66) will be changed 
      to actually contain the name of the product. This process will run as a 
      
    • 111 SEQ #107
      DATE APPLIED:   2003-01-09 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch contains modifications to the Surgery package to include new
          Ethnicity and multiple Races display on the report.  These fields are 
          not editable through the Surgery package options.
       
      3.  Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT].  Ethnicity 
          and multiple races appear on the report.
       
      4.  Queue Assessment Transmissions [SROA TRANSMIT ASSESSMENTS].
              a.  Non-Cardiac Risk Assessment transmission.  Old Race 
                  information is retained on node 7.  New Ethnicity and multiple
                  Races are transmitted on node 13.
      Ethnicity and multiple Race fields in four Surgery options as listed 
              b.  Cardiac Risk Assessment transmission.  Old Race information is
                  retained on node 24.  New Ethnicity and multiple Races 
                  are transmitted on node 6.
      below. The new fields comply with the new Race and Ethnicity Standards as
      set forth by the Office of Management and Budget.
       
      1.  Tissue Examination Report [SROTRPT].  Ethnicity and multiple Races 
          appear in the report footer.
       
      2.  Non-Cardiac Assessment Information (Enter/Edit) [SROA ENTER/EDIT].
      
    • 107 SEQ #108
      DATE APPLIED:   2003-03-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is an enhancement patch to the Surgery V. 3.0 software. It will
       
      1. The new SPD COMMENTS field (#80) of the SURGERY file (#130) is added to
         the following options:
       
        - Make Operation Requests [SROOPREQ]
        - Delete or Update Operation Requests [SRSUPRQ]
        - Make a Request from the Waiting List [SRSWREQ]
        - Make a Request for Concurrent Cases [SRSREQCC]
        - Schedule Unrequested Operations [SROSRES]
        - Schedule Unrequested Concurrent Cases [SRSCHDC]
      replace the existing Surgery interface with the Integrated Funds
        - Reschedule or Update a Scheduled Operation [SRSCHUP]
       
      2. The new AUTOMATED CASE CART ORDERING field (#37) will be added to the
         SURGERY SITE PARAMETERS file (#133) input template SRPARAM so that
         this field may be edited using the Surgery Site Parameters (Enter/Edit)
         [SROPARAM] option. This field will be checked to determine if the
         CoreFLS interface for Surgery is in use at the facility before sending
         the Surgery data to the CoreFLS package.
       
      3. This patch modifies all options used to create or schedule a Surgery
      Distribution, Control Point Activity, Accounting, and Procurement (IFCAP)
         case so that information can be provided to SPD for the creation of
         Surgery case carts.
       
      4. This patch modifies the Surgery software to send updates to SPD
         whenever any of the information provided on the messages has been
         modified using any data entry option.
       
      5. This patch enhances the following options to initiate HL7 update
         messages if the Surgery Health Level 7 (HL7) interface is in use at
         the facility for the following options:
      with a new interface to the Core Financial and Logistics System (CoreFLS).
       
         - Enter PAC(U) Information [SROMEN-PACU]
         - Patient Demographics (Enter/Edit) [SROA DEMOGRAPHICS]
         - Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE
           RISK]
         - Exclusion Criteria (Enter/Edit) [SR NO ASSESSMENT REASON]
         - Update 1-Liner Case [SROA ONE-LINER UPDATE]
      Functionally, the new interface expands the features provided in the
      existing interface. The interface will provide Surgery case information to
      Supply Processing and Distribution (SPD) so that the specific Surgery
      case carts needed for the case can be created. The modifications include
      the following items:
      
    • 113 SEQ #109
      DATE APPLIED:   2003-03-29 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides the ability to display a new confidential 
      communication address when using the Print 30 Day Follow-up Letters [SROA 
      REPRINT LETTERS] option within VISTA Surgery if the Confidential 
      Communication Types contain "All Others".
      
    • 115 SEQ #110
      DATE APPLIED:   2003-04-17 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is created in support of directive 2002-070, ENSURING CORRECT
      SURGERY.
       
      The patch adds two new fields in the SURGERY file (#130).  They are
      needed to document that the operating room team performed a "time out" to
      ensure that the correct surgery is being done.  The new fields are:
        1. TIME OUT VERIFIED (#71)
        2. IMAGING CONFIRMED (#72)
      
    • 112 SEQ #111
      DATE APPLIED:   2003-05-20 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch fixes the "NULLSUBSCR" error generated when using the PRINT
      2. This patch adds the description to the Data Dictionary of the
         DEFAULT BLOOD COMPONENT field (#41) in the SURGERY SITE PARAMETERS file
         (#133).
       
      3. When updating a Risk Assessment Status to "COMPLETE", the software
         checks for missing information and provides the ability to update it.
         This option was overlooked when doing the Race & Ethnicity changes
         (patch SR*3*111). This patch removes the current checking for the RACE 
         field (#417) in the SURGERY file (#130).
       
         FILE ENTRIES FileMan option to print one or more of the following
      4. When using the Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT]
         option, there is a possibility of getting an undefined error if the
         length of the race data is found to be more than forty characters.
         This patch fixes this problem.
         fields in the SURGERY file (#130) if these fields contain no data:
       
         - OTHER RESPIRATORY OCCURRENCE field (#253)
         - OTHER URINARY TRACT OCCURRENCE field (#286)
         - OTHER CNS OCCURRENCE field (#343)
         - OTHER CARDIAC OCCURRENCE field (#344)
       
      
    • 114 SEQ #112
      DATE APPLIED:   2003-09-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. Surgery is using the Flag Drugs for Use as Anesthesia Agents [SROCODE] 
         If the user quits using the up-arrow ("^"), the software does not
         respond correctly and subsequently errors out. This patch fixes this
         problem.
       
      3. It was reported that if the Surgery case was in a requested state 
         and if an entry is made in the TIME PAT IN OR field (#.205) of the 
         SURGERY file (#130), it is found that the time gets appended to the
         DATE OF OPERATION field (#.09) of the SURGERY file (#130). This is
         causing the time to appear in the scheduling grid and prevents the case
         scheduling. This entry should be made only if the case is in a
         option to flag drugs in the DRUG file (#50) for use as anesthesia 
         scheduled state or entered via the Operation Menu [SROPER] option. This
         patch provides the user the option to delete any of the following
         entered date fields as a pre-condition for scheduling such cases:
       
          - ANES CARE START TIME field (#.21), TIME OPERATION BEGAN 
            field (#.22), TIME OPERATION ENDS field (#.23), ANES CARE END TIME
            field (#.24), TIME PAT IN OR field (#.205), and TIME PAT OUT OR
            field (#.232)
       
         This functionality is added to the following options:
         agents. This patch modifies this option to call Pharmacy Data
          - Delete or Update Operation Requests [SRSUPRQ] option
          - Schedule Requested Operations [SRSCHD1] option
          - Reschedule or Update a Scheduled Operation [SRSCHUP] option
         Management V. 1.0 (PDM) package so that PDM possibly generates an HL7
         outgoing drug message.
       
      2. When canceling a concurrent case using the Cancel Scheduled Operation 
         [SRSCAN] option, the software prompts, "There is a concurrent case 
         associated with this operation. Do you want to cancel it also? YES//".
      
    • 63 SEQ #59
      DATE APPLIED:   1997-04-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Surgery patch SR*3*63, Fixes and Enhancements.
      
    • 120 SEQ #113
      DATE APPLIED:   2003-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As a follow-up enhancement to Surgery patch SR*3*115, this patch adds a 
      CONFIRMED field (#72). A surgical case is counted as compliant with the 
      documentation process for ensuring correct surgery if the TIME OUT 
      VERIFIED field (#71) is YES and if the IMAGING CONFIRMED field (#72) is 
      either YES or NOT APPLICABLE.
       
      This report includes two parts, either of which may be printed separately 
      or combined: 
       1. Compliance Summary - This part shows the number of cases with each of
          the possible data scenarios for the two fields in question and their
          percentage of the total cases performed.
      new report option to assist in reviewing compliance with the process 
       2. List of Non-Compliant Cases - This part provides a list of surgical
          cases that are not compliant (as defined above).
      defined by directive 2002-070, ENSURING CORRECT SURGERY. Ensuring Correct 
      Surgery Compliance Report [SRO ECS COMPLIANCE] option is added to the 
      Management Reports [SRO-CHIEF REPORTS] menu on the Chief of Surgery Menu
      [SROCHIEF] option. 
       
      This report checks the two fields added to SURGERY file (#130) by Surgery 
      patch SR*3*115, the TIME OUT VERIFIED field (#71) and the IMAGING 
      
    • 116
      DATE APPLIED:   2003-09-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Please see the National Patch Module for details of the enhancements
      included in this patch.
      
    • 123 SEQ #115
      DATE APPLIED:   2003-10-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As a follow-up enhancement to Surgery patch SR*3*115 (released April 8, 
      after November 13, 2003, the Quarterly Report for the fourth quarter of
      Fiscal Year 2003 will also be automatically transmitted by a post-install
      process.
      2003), this patch updates the Quarterly Report by adding the Compliance 
      Summary portion of the Ensuring Correct Surgery Compliance Report (made 
      available by patch SR*3*120) to the end of the existing Quarterly Report.
      This additional information will be transmitted as part of the Quarterly
      Report that goes to Surgical Service, Central Office.
       
      A post-install process will automatically transmit the Quarterly Report 
      for the third quarter of Fiscal Year 2003. If this patch is installed
      
    • 121 SEQ #116
      DATE APPLIED:   2003-10-23 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is an enhancement patch to the Surgery V. 3.0 software. It will
       - Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT]
       - Update Assessment Completed/Transmitted in Error
          [SROA TRANSMITTED IN ERROR]
       - Print 30 Day Follow-up Letters [SROA REPRINT LETTERS]
       - Exclusion Criteria (Enter/Edit) [SR NO ASSESSMENT REASON]
       - Update 1-Liner Case [SROA ONE-LINER UPDATE]
      allow assessment lookups by assessment (case) number, in addition to the
      lookups by patient. The following options under the Surgery Risk
      Assessment Menu [SROA RISK ASSESSMENT] option has this functionality
      incorporated:
       
       - Non-Cardiac Assessment Information (Enter/Edit) [SROA ENTER/EDIT]
       - Cardiac Risk Assessment Information (Enter/Edit)
          [SROA CARDIAC ENTER/EDIT]
      
    • 118 SEQ #117
      DATE APPLIED:   2003-11-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects two problems. It corrects the problem in the 
      display when entering "Other Procedures" in the Operation [SROMEN-OP]
      Option. The display is limited to 15 entries, and sometimes more
      than 15 "Other Procedures" entries are needed. The patch also corrects
      a problem that occurs when printing the PCE Filing Status report. 
      Long names should list the initial for the patient's first name.  
      Currently, the report drops the first name completely.
      
    • 124 SEQ #118
      DATE APPLIED:   2003-11-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects the null subscript error in SROPRPT routine.
      
    • 122 SEQ #119
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch updates the PROTOCOL file(#101) and HL LOGICAL LINK file(#870) 
      for the Surgery interface.  HL LOGICAL LINK file(#870) does not contain 
      any site specific data.
      
    • 126 SEQ #120
      DATE APPLIED:   2004-03-30 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is an enhancement to the Surgery software providing additional
         type field.
       
      This patch modifies the following four existing fields in the SURGERY
      file (#130):
       - A minor change is made to the description of the "NO" choice in
         the TIME OUT VERIFIED field (#71).
       
       - The PREOPERATIVE IMAGING CONFIRMED field (#72) will have three
         choices: "Y, YES", "I, IMAGING NOT REQUIRED FOR THIS PROCEDURE" and
         "N, NO - IMAGING REQUIRED BUT NOT VIEWED (see CORRECT SURGERY
      changes related to Ensuring Correct Surgery. This patch is Phase I of the
         COMMENTS)"
       
       - The description of the different choices of the ATTENDING CODE
         field (#.165) is modified.
       
       - The maximum number of years of surgical residency (post graduate)
         of the PGY OF PRIMARY SURGEON field (#214) is changed from 10 to 12.
       
      This patch also exports the following new date/time fields that will be
      used to time-stamp when the three correct Surgery fields (TIME OUT
      enhancement.
      VERIFIED (#71), PREOPERATIVE IMAGING CONFIRMED (#72), and MARKED SITE
      CONFIRMED (#73)) of the SURGERY file (#130) are entered or edited, and
      they are not editable fields:
       - TOV TIMESTAMP field (#75)
       - IMAG TIMESTAMP field (#76)
       - SITE MARK TIMESTAMP field (#77)
       
      These fields MARKED SITE CONFIRMED (#73), PREOPERATIVE IMAGING CONFIRMED
      (#72), and CORRECT SURGERY COMMENTS (#74) are found under the following
      menu options:
       
       - Operation [SROMEN-OP] option
       - Operation (Short Screen) [SROMEN-OUT] option
       - Operation Startup [SROMEN-START] option
       
      This patch will disable the Ensuring Correct Surgery Compliance Report
      [SRO ECS COMPLIANCE] option. Also, the compliance section of the
      Quarterly Report - Surgical Service [SRO QUARTERLY REPORT] option will be
      disabled until Correct Surgery Enhancements 2004 Phase II is released,
      targeted date is June 2004.
      This patch exports the following new fields in the SURGERY file (#130):
       - The MARKED SITE CONFIRMED field (#73) will have three choices:
         "Y, YES", "M, MARKING NOT REQUIRED FOR THIS PROCEDURE" and "N, NO -
         MARKING REQUIRED BUT NOT DONE (see CORRECT SURGERY COMMENTS)".
       - The CORRECT SURGERY COMMENTS field (#74) which is a word processing
      
    • 100
      DATE APPLIED:   2004-04-27 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch provides the ability to electronically sign operative reports 
      Features provided by this patch are described in the Surgery Electronic 
      Signature for Operative Reports Release Notes and in the Surgery 
      Electronic Signature for Operative Reports Implementation Guide.
      contained within the VISTA Surgery V. 3.0 application. These reports
      include the Operation Report, the Nurse Intraoperative Report, the
      Anesthesia Report and the Procedure Report (Non-O.R.). This patch provides
      the ability to view these signed reports through the Computerized Patient
      Record System (CPRS) by storing them in the Text Integration Utilities
      (TIU) V. 1.0 application. Tools provided by the TIU software will be used
      to sign and manage the electronic documents.
       
      
    • 128 SEQ #122
      DATE APPLIED:   2004-05-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch addresses follow-up issues related to the Surgery Electronic 
      **DRAFT COPY - DRAFT COPY -- ABOVE NOTE IS UNSIGNED-- DRAFT COPY - DRAFT COPY**
       
         This patch modifies the routine SROESPR1 to prevent the display of this
         line if the document has a status of COMPLETED. See NOIS
         FAR-0104-40622.
       
      2. The input template SROARPT is used by the Anesthesia Report [SROARPT] 
         option to edit fields that are part of the Anesthesia Report. This 
         patch modifies this input template to remove the INTRAOPERATIVE
         OCCURRENCES field (#1.14) and the POSTOP OCCURRENCE field (#1.16) since
      Signature for Operative Reports patch (SR*3*100).
         these two fields do not appear on the Anesthesia Report.
       
      1. Converted documents for historical surgical/non-OR cases are stored in 
         the TIU DOCUMENT file (#8925) with a status of COMPLETED, but they 
         have no signature date. Therefore, when one of these converted
         documents is printed, the following line is printed at the end of the
         document text:
       
      
    • 64 SEQ #60
      DATE APPLIED:   1997-04-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      The information contained in this KIDS Build relates to the Surgery patch
      SR*3*64.
      
    • 129 SEQ #123
      DATE APPLIED:   2004-09-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ******************************* N O T E **********************************
         procedures. This patch implements the new levels of resident 
           comment field.
           At the end of the conversion process, this patch will delete the data
           dictionary of the CORRECT SURGERY COMMENTS field (#74) in the SURGERY
           file (#130), which was exported in phase I of the Ensuring Correct
           Surgery patch SR*3.0*126.
       
      3. SURGEON PRESENT TIME ON NURSE INTRAOPERATIVE REPORT
         Patch SR*3*25 modified the Nurse Intraoperative Report so that it 
         displayed the SURG PRESENT TIME field (#.206) only if data was entered.
         This functionality, omitted unintentionally by patch SR*3*100, is
         supervision in the Surgery software and includes the following
         restored by this patch.
       
      4. DOCUMENTS PRINTED FROM TIU
         This patch modifies the routine SROESPR to correct a possible problem 
         if no print group is defined when a document is printed.
         features:
       
       (a) A new file, ATTENDING CODES file (#132.9), is created to store all 
           attending codes used by the Surgery software. These codes include 
           both sets of Levels 0 to 3 (before and after patch SR*3*126, all
           flagged as inactive codes) and the latest codes for Levels A to F
           (active codes).
       
      There is no conflict between this patch and the CoreFLS software.
       (b) The name of the existing ATTENDING CODE field (#.165) in the SURGERY
           file (#130) is changed to *ATTENDING CODE - NOT USED and a new
           ATTENDING CODE field (#.166) is created that points to the ATTENDING
           CODES file (#132.9).
       
       (c) The patch includes a post-install conversion that loops through all 
           the cases in the SURGERY file (#130) and matches the attending code
           in the old field (#.165) with the equivalent code in the new
           ATTENDING CODE field (#.166), storing the equivalent code in the new
           field. The content of the old field is not changed by the conversion.
      Installation of this patch by the CoreFLS sites will not cause any 
       
       (d) The following data entry options are updated to use the new ATTENDING
           CODE field (#.166): 
           - Post Operation [SROMEN-POST] 
           - Operation (Short Screen) [SROMEN-OUT] 
           - Surgical Staff [SROMEN-STAFF] 
           - Edit Non-O.R. Procedure [SRONOP-EDIT] 
           - Update 1-Liner Case [SROA ONE-LINER UPDATE]
       
       (e) The following report and display options are updated to use the new 
      problems.
           ATTENDING CODE field (#.166): 
           - Attending Surgeon Reports [SROATT] 
           - View Patient Perioperative Occurrences [SROMEN-M&M] 
           - Operation Information [SROMEN-OPINFO] 
           - Quarterly Report - Surgical Service [SRO QUARTERLY REPORT] 
             Note: The Perioperative Occurrence Categories on this report are
             updated to reflect the categories used by the National Surgical
             Quality Improvement Program (NSQIP) and the Continuous Improvement
             in Cardiac Surgery Program (CICSP). Some of these categories may
             not be immediately available for selection, but will be included
      **************************************************************************
             later in the NSQIP/CICSP ENHANCEMENTS 2004 patch (SR*3*125).
           - List of Operations Included on Quarterly Report [SROQ LIST OPS] 
           - Report of Missing Quarterly Report Data [SROQ MISSING DATA]
       
       (f) The patch updates the transmission of Quarterly Report data to the 
           national database to use the new ATTENDING CODE field (#.166).  
       
      2. ENSURING CORRECT SURGERY PHASE II
         Phase II of the Ensuring Correct Surgery Enhancement Project provides
         the following enhancements:
       
       
       (a) The following new fields are added to the SURGERY file (#130):
           - TIME OUT VERIFIED COMMENTS field (#82)
           - IMAGING CONFIRMED COMMENTS field (#83)
           - MARKED SITE COMMENTS field (#84)
       
           These fields are added to capture the comments corresponding to the
           following:
           - TIME OUT VERIFIED field (#71)
           - PREOPERATIVE IMAGING CONFIRMED field (#72)
      1. RESIDENT SUPERVISION
           - MARKED SITE CONFIRMED field (#73)
       
       (b) The following data entry options will be modified to include
           the new comment fields noted in item (a):
           - Operation [SROMEN-OP]
           - Operation (Short Screen) [SROMEN-OUT]
           - Nurse Intraoperative Report [SRONRPT]
       
           Entry of "NO" in any of the three Correct Surgery fields will prompt
           the user to enter the associated comment field. Entry of "NO" in
         The Veterans Health Administration (VHA) Handbook 1400.1, dated May 3, 
           any of the three Correct Surgery fields will not automatically force
           entry into the respective comment field.
       
       (c) Nurse Intraoperative Report Changes
           If any of the three Correct Surgery fields are not answered, the
           nurse will not be able to electronically sign the Nurse
           Intraoperative Report. If any of the three Correct Surgery fields is
           answered "NO" but does not have information in the corresponding
           comments field, the nurse will not be able to electronically sign the
           Nurse Intraoperative Report. The nurse will be able to update this
         2004, changed the levels of resident supervision for operating room 
           information at time of signature without leaving the option.
       
       (d) The compliance reports, which were disabled in phase I are 
           reactivated and are modified to display the new formats for the three
           Correct Surgery fields.
       
       (e) Convert Existing Comments
           For each of the three Correct Surgery fields answered with a "NO" 
           response, the information in the CORRECT SURGERY COMMENTS field (#27)
           of the SURGERY file (#130) will be replicated in the corresponding
      
    • 132 SEQ #124
      DATE APPLIED:   2004-09-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ******************************* N O T E *********************************
      dictated summary, if present. After patch SR*3*100, the Procedure Report 
      (Non-OR) includes only the provider's dictated summary since only the 
      provider's dictated summary is electronically signed. The only way to 
      review the information entered into the data fields documenting the 
      procedure in the SURGERY file (#130) is by way of the data entry options 
      on the Non-O.R. Procedures (Enter/Edit) [SRONOP-ENTER] menu.
       
      This patch adds the Non-OR Procedure Information [SR NON-OR INFO] option, 
      to the Non-O.R. Procedures (Enter/Edit) [SRONOP-ENTER] menu and to the 
      CPT/ICD9 Update/Verify Menu [SRCODING UPDATE/VERIFY MENU]. This option 
      There is no conflict between this patch and the CoreFLS software.
      will display the "op-top" information that formerly was part of the 
      Procedure Report (Non-OR). The output from this option may be viewed on 
      the user's screen or may be printed.  
       
      A future enhancement is planned that will incorporate the "op-top"
      information into an electronically signed document and thus be viewable in
      the Computerized Patient Record System (CPRS). At this time, the details
      of this enhancement and schedule for release are not known.
      Installation of this patch by the CoreFLS sites will not cause any 
      problems.
      *************************************************************************
       
      Prior to patch SR*3*100, the Procedure Report (Non-OR) included an 
      "op-top" section that included many of the data fields documenting the 
      procedure in the SURGERY file (#130) in addition to the provider's 
      
    • 125
      DATE APPLIED:   2004-09-03 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      ******************************* N O T E **********************************
         VA's NSQIP module more in line with the data collected in the private
         sector. This patch also include updates to the Continuous Improvement
         in Cardiac Surgery Program (CICSP) module. 
         
         Modifications to the Surgery V. 3.0 software include:
         - the addition of 22 new fields to SURGERY file (#130)
         - the update of approximately 120 field descriptions for NSQIP and 
           CICSP data elements in the SURGERY file (#130)
         - the update of data input screens to allow the input of additional
           data elements as well as to delete some data elements no longer 
      There is no conflict between this patch and the CoreFLS software.
           needed
         - the addition of two new data input options, Laboratory Test Results 
           (Enter/Edit) [SROA LAB-CARDIAC] and Outcome Information (Enter/Edit) 
           [SROA CARDIAC-OUTCOMES], on the Cardiac Risk Assessment Information 
           (Enter/Edit) [SROA CARDIAC ENTER/EDIT] menu
         - the removal of the option Update Operations as Unrelated/Related to 
           Death [SRO DEATH RELATED] from Surgery Risk Assessment Menu [SROA
           RISK ASSESSMENT]
         - the update of assessment transmissions to reflect the current 
           set of NSQIP and CICSP data elements
      Installation of this patch by the CoreFLS sites will not cause any 
         - the update of occurrence categories in the PERIOPERATIVE OCCURRENCE
           CATEGORY file (#136.5)
       
      2. This patch will enhance the lookup by case/assessment number feature
         introduced in patch SR*3*121. Within the Surgery Risk Assessment Menu 
         [SROA RISK ASSESSMENT] option, at the "Select Patient" prompt, lookup
         by case/assessment number is allowed by entering the case number
         preceded by #, e.g., enter #6785 to go to case #6785.
      problems.
      **************************************************************************
       
      1. This patch updates the Surgery Risk Assessment software of the VISTA 
         Surgery V. 3.0 application as requested by the National Surgical
         Quality Improvement Program (NSQIP) Executive Committee to bring the
      
    • 135 SEQ #126
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. NON-CARDIAC PREOP INFORMATION SCREEN, PAGE 1
         in the SURGERY file (#130), the word aneurysectomy is changed to
         aneurysmectomy.
       
      3. REPEAT VENTILATOR W/IN 30 DAYS
         This patch modifies the cardiac assessment creation process to set the 
         default value of the REPEAT VENTILATOR W/IN 30 DAYS field (#490) in 
         the SURGERY file (#130) to NO if null.
       
      4. CPB STATUS
         This patch updates how the cardiopulmonary bypass status associated 
         When editing all the GENERAL items on the first page of the
         with a repeat cardiac surgical procedure outcome is updated and
         transmitted for cardiac assessments.
         Preoperative Information (Enter/Edit) [SROA PREOP DATA] option, the
         last two items are not presented for editing in the same order they
         appear on the main screen. This patch changes the order of presentation
         for editing to match the order on the main screen.
       
      2. SPELLING CORRECTION
         In the field description of the PREVIOUS CARDIAC SURGERY field (#266)
      
    • 127 SEQ #127
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Office of Information Assurance, Office of Information, Veterans Health
      time service was provided. Four code sets, (ICD-9-CM, CPT, CPT modifiers,
      DRG) for this project were modified as required under HIPAA legislation to
      be date-sensitive under the first phase of the project.
       
      At the time that CSV 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, CTD,
      intends to add the functionality of date-sensitive versioning
      for all applicable code text descriptors for the four code sets, effective
      Administration (VHA), requested modifications to the VHA Information
      with all textual changes occurring since October 1, 2002.
       
      This patch addresses the changes done within the Surgery V. 3.0 software
      in compliance with the CTD project.
       
      The only noticeable difference users may see will occur when a specific
      CPT, CPT modifier or ICD9 code descriptor changes base on the date of
      operation for the case.
      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
      
    • 130 SEQ #128
      DATE APPLIED:   2004-10-15 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      THIS PATCH WILL ALLOW SURGERY USERS TO ENTER MORE THEN 15 LINE ITEMS FOR
      ALL MULTIPLE FIELDS.
      
    • 136 SEQ #129
      DATE APPLIED:   2004-11-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch prevents the infinite loop condition described in NOIS 
      ISW-0904-20140 when the Imaging software attempts to display an Operation
      Report that is not complete.
      
    • 138 SEQ #130
      DATE APPLIED:   2004-11-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch corrects the problem reported in NOIS WRJ-1004-10891 in which 
      ORGAN/SPACE SSI occurrence categories were not appearing on the 
      non-cardiac assessment printout.
      
    • 131 SEQ #132
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch will clean up old variables after the call to EN^DIQ1.
      It will also replace the Anesthesia Agent Dose that was removed during 
      the install of SR*3*100.
      
    • 134 SEQ #133
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. LOCKING OF SURGICAL CASES FOR EDITING
         signed while the case or a concurrent case is open for editing. If a
         case is locked and another user attempts to open the same case for
         editing, a message will appear on the screen indicating the name of the
         user that has the case locked. Likewise, if a user attempts to sign 
         the Nurse Intraoperative Report or the Anesthesia Report while the 
         case is open for editing, a message will appear on the screen 
         indicating the name of the user that has the case open for editing.
         
      2. ALLOW CHART PRINT OUTSIDE MAS
         This patch modifies the software responsible for printing
         Patch SR*3*100 introduced locking of a surgical case when a user opens
         electronically signed surgery reports to honor the ALLOW CHART PRINT
         OUTSIDE MAS parameter defined in the TIU DOCUMENT PARAMETERS file
         (#8925.95). If this parameter is set to YES or is null, users will be
         allowed to choose between printing a work copy or a chart copy. If this
         parameter is set to NO, only users in MAS will be allowed to print a
         chart copy and all other users will be allowed to print a work copy
         only.
       
      3. QUARTERLY REPORT ARRAY CLEANUP
         This patch updates the software that generates the Surgery Quarterly 
         the case for editing, allowing only one user at a time to edit the same
         Report to kill a variable array that may cause problems when the
         Surgery Quarterly Report is transmitted from multidivisional
         facilities.
       
      4. DATE/TIME OUTPUT TRANSFORM CORRECTION
         This patch corrects the output transform used to display the external 
         format of several date/time fields modified by patch SR*3*125. Also, an
         update is made to the way admission, transfer and discharge date/times 
         are retrieved and stored for Surgery Risk Assessment.
       
         case. This patch alters how surgical cases are locked and allows
      5. DOCUMENTATION ERROR CORRECTION
         The patch SR*3*100 documentation problem described in NOIS
         PUG-0604-51225 is corrected in documentation distributed with this
         patch.
       
      6. FIELD DESCRIPTION UPDATE
         In the SURGERY file (#130), the CONGESTIVE HEART FAILURE field (#207) 
         field description is updated with the 2004 definition.
       
      7. PATIENT NAME/ID ON CARDIAC ASSESSMENT PRINTOUT
         multiple users to open the same case for editing up until the time that
         This patch corrects a problem with the cardiac assessment printout in 
         which the patient ID is truncated if the patient's name is more than 
         16 characters in length.
       
      8. NOIS SHR-0904-71756
         This patch corrects the problem described in NOIS SHR-0904-71756 so
         that the printer is closed after printing the assessment upon
         assessment completion.
       
      9. CARDIAC TRANSMISSION UPDATE
         either the Nurse Intraoperative Report or the Anesthesia Report is
         The cardiac assessment transmission is modified by this patch to 
         update the formatting of the date of death, if present.
       
      10. NOIS SBY-0904-31547
         Application of this patch prevents the problem described in NOIS
         SBY-0904-31547.
       
      11. ATTENDING REQUIRED BEFORE COMPLETING CASE
         To prevent possible cosigner problems with the Operation Report and 
         the Procedure Report (Non-OR), this patch will require the attending 
         signed. When a user enters the function to sign either report and after
         surgeon/provider to be entered before the case can be completed. 
         
         When a user enters the TIME PAT OUT OR field (#.232) in the SURGERY 
         file (#130), to complete a surgical case, if the ATTEND SURGEON field 
         (#.164) is blank, the software will prompt the user to enter the 
         attending surgeon. For non-OR procedures, when a user enters the TIME 
         PROCEDURE ENDED field (#122), if the ATTEND PROVIDER field (#124) is 
         blank, the software will prompt the user to enter the attending 
         provider.
         
         either report is signed, the software will again allow only one user at
         If the SURGICAL RESIDENTS (Y/N) field (#33) in the SURGERY SITE 
         PARAMETERS file (#133) is set to NO, when a surgeon is entered in the 
         SURGEON field (#.14) in the SURGERY file (#130), the software will 
         enter the surgeon in the ATTEND SURGEON field (#.164). For non-OR 
         procedures, when the provider is entered in the PROVIDER field (#123), 
         the software will enter the provider in the ATTEND PROVIDER field 
         (#124).
         a time to open the case for editing. Neither report for a case can be
      
    • 65 SEQ #61
      DATE APPLIED:   1997-05-01 00:00:00
      APPLIED BY:   USER,ONE
    • 137 SEQ #131
      DATE APPLIED:   2004-12-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Variables not printing correctly in Risk Assessment report
      
    • 141 SEQ #134
      DATE APPLIED:   2005-02-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. This patch fixes the problem reported in NOIS BAY-0105-30051. The 
         PREOP DATA] on the menu Non-Cardiac Assessment Information 
         (Enter/Edit) [SROA ENTER/EDIT] on the menu Surgery Risk Assessment 
         Menu [SROA RISK ASSESSMENT] to edit items under GENERAL on page 1, 
         entering a caret (^) to exit at one of the sub-item prompts does 
         not work correctly. This patch corrects this problem.
         problem was introduced by patch SR*3*134.
       
      2. This patch fixes the problem reported in NOIS CLA-0105-20215. This 
         problem occurs only at facilities with multiple divisions defined in
         the SURGERY SITE PARAMETERS file (#133) with all but one division 
         flagged as inactive.
       
      3. When using the option Preoperative Information (Enter/Edit) [SROA 
      
    • 140 SEQ #135
      DATE APPLIED:   2005-04-01 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch enables the user to delete surgery images.
      
    • 143 SEQ #136
      DATE APPLIED:   2005-04-26 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. In support of the Surgical Infection Project (SIP), this patch 
           Medication Comments
       
      2. The Morbidity & Mortality Reports [SROMM] option and the M&M 
         Verification Report [SRO M&M VERIFICATION REPORT] option are 
         modified to display the sepsis category for SYSTEMIC SEPSIS
         occurrences.
       
      3. This patch modifies the DYSPNEA field (#325) in the SURGERY file 
         (#130) changing MINIMAL EXERTION in the set of choices to MODERATE 
         EXERTION. This change makes the set of codes agree with the field 
         modifies the Nurse Intraoperative Report [SRONRPT] option to display
         description.
         and to allow editing of the following additional information related
         to medications:
           Time Administered
           Route
           Dosage
           Ordered By
           Administered By
      
    • 119
      DATE APPLIED:   2005-09-05 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      CLINICAL INDICATOR DATA CAPTURE - SURGERY
      
    • 145 SEQ #138
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      In Remedy HD 94190, when using the Patient Demographics (Enter/Edit) [SROA
      DEMOGRAPHICS] option, an undefined error occurs if the length of the race
      data is found to be more than 72 characters.
      
    • 147 SEQ #139
      DATE APPLIED:   2005-12-02 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. For CPRS-R (ReHosting), a cache of patient data will be maintained for
         (#.12) in the SURGERY file (#130). The field is renamed "PREOP HAIR
         CLIPPING BY" and the title and description of this field are updated.
         The field titles on the Nurse Intraoperative Report are changed as
         well.
         the duration of his/her inpatient stay (or outpatient visit) for ease
         of searching and sorting within the new Java client; rather than making
         frequent calls back to each application's database. To this end, this
         patch contains modifications that will allow the Surgery software to
         update the CPRS-R (ReHosting) cache of patient data when a case is
         created or edited.
       
      2. This patch updates the data dictionary of the PREOP SHAVE BY field
      
    • 149 SEQ #140
      DATE APPLIED:   2005-12-21 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      THIS PATCH WILL INSERT "N SRX" TO THE BEGINNING OF SEVERAL SURGERY
      FILE (#130) INPUT TRANSFORMS.
      
    • 150 SEQ #141
      DATE APPLIED:   2006-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      THIS PATCH CORRECTS FOUR ISSUES RELATED TO CIDC.
      
    • 148 SEQ #142
      DATE APPLIED:   2006-01-12 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch modifies the Blood Product Verification [SR BLOOD PRODUCT 
      VERIFICATION] option to reference the VistA Blood Establishment Computer 
      Software (VBECS) if installed. This change allows the option to maintain 
      its current functionality before and after VBECS is installed.
      
    • 67 SEQ #62
      DATE APPLIED:   1997-05-28 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This is Surgery patch SR*3*67.
      
    • 151 SEQ #143
      DATE APPLIED:   2006-03-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      As existing pharmacy software modules are being re-engineered through
      'behind-the-scenes' process to enable exchange of medication data.
      new development and the purchase of commercial off-the-shelf products
      (COTS). Transition to the new Pharmacy Re-Engineered system eliminates the
      VistA Pharmacy files currently referenced. Therefore, all Surgery existing
      references (direct global reads/writes, VA FileMan reads/writes) to all
      pharmacy application files must be replaced with Application Programmer
      Interfaces (APIs).
       
      This enhancement does not entail any user functionality change, only a
      
    • 155 SEQ #144
      DATE APPLIED:   2006-04-10 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is a follow up patch for SR*3*151. It fixes the undefined
      error reported by Dublin when using the Anesthesia Provider Report
      [SROADOC] option.
      
    • 142 SEQ #145
      DATE APPLIED:   2006-05-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is part of the Patient Financial Services System (PFSS) project.
      system. The project consists of the implementation of the billing
           o Quarterly Report - Surgical Service [SRO QUARTERLY REPORT] option
           o Report of Missing Quarterly Report Data [SROQ MISSING DATA] option
             Note: The Other CPT Codes no longer affect this report and 
             references to Other CPT Codes are removed. The display of "I" in 
             the footer of this report is removed.
           o Annual Report of Non-O.R. Procedures [SRONOP-ANNUAL] option
           o List of Invasive Diagnostic Procedures [SROQIDP] option
         - The following Surgery reports and options are modified to remove CPT 
           and/or ICD codes from the display.
           o Update Status of Returns within 30 Days [SRO UPDATE RETURNS] option
      replacement system, business process improvements, and enhancements to
           o Update Operations as Unrelated/Related to Death [SRO DEATH RELATED]
             option
           o Non-OR Procedure Information [SR NON-OR INFO] option
           o Deaths Within 30 Days of Surgery [SROQD] option
           o Admissions Within 14 Days of Outpatient Surgery [SROQADM] option
           o List of Operations Included on Quarterly Report [SROQ LIST OPS]
             option
       
      3. Modified Risk Assessment Options
         - Surgery case CPT and/or ICD codes used in the following options are 
      VistA to support integration with the COTS billing replacement system.
           displayed from the SURGERY PROCEDURE/DIAGNOSIS CODES file (#136):
           o Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option
           o List of Surgery Risk Assessments [SROA ASSESSMENT LIST] option 
           o Exclusion Criteria (Enter/Edit) [SR NO ASSESSMENT REASON] option
             Note: The new CPT code fields will not be editable from this
             option.
           o Update 1-Liner Case [SROA ONE-LINER UPDATE] option
             Note: The new CPT code fields will not be editable from this
             option.
           o Queue Assessment Transmissions [SROA TRANSMIT ASSESSMENTS] option
      Significant changes to VistA legacy systems and ancillary packages are
         - In the following options CPT codes are removed from the screen
           headings:
           o Preoperative Information (Enter/Edit) [SROA PREOP DATA] option 
           o Laboratory Test Results (Enter/Edit) [SROA LAB] option
           o Operation Information (Enter/Edit) [SROA OPERATION DATA] option
             Note: The CPT code and Postoperative Diagnosis fields will not be 
             editable from this option. 
           o Patient Demographics (Enter/Edit) [SROA DEMOGRAPHICS] option
           o Intraoperative Occurrences (Enter/Edit) [SRO INTRAOP COMP] option
           o Postoperative Occurrences (Enter/Edit) [SRO POSTOP COMP] option
      necessary.
           o Clinical Information (Enter/Edit) [SROA CLINICAL INFORMATION]
             option
           o Laboratory Test Results (Enter/Edit) [SROA LAB-CARDIAC] option
           o Enter Cardiac Catheterization & Angiographic Data [SROA 
             CATHETERIZATION] option 
           o Operative Risk Summary Data (Enter/Edit) [SROA CARDIAC OPERATIVE 
             RISK] option
             Note: The CPT code fields will not be editable from this option.
           o Cardiac Procedures Operative Data (Enter/Edit) [SROA CARDIAC 
             PROCEDURES] option
       
           o Outcome Information (Enter/Edit) [SROA CARDIAC-OUTCOMES] option
           o Resource Data [SROA CARDIAC RESOURCE] option
         - The Update Assessment Status to 'COMPLETE' [SROA COMPLETE ASSESSMENT]
           option is modified to remove the ability to edit CPT and ICD codes 
           from this option.
       
      4. Functions that are currently part of the Surgery Nightly Cleanup and 
         Updates [SRTASK-NIGHT] option are modified as follows:
         - Store Operation Times function uses the CPT code fields in the 
           SURGERY PROCEDURE/DIAGNOSIS CODES file (#136).
      Some of the PFSS software components are not operational until the PFSS 
         - File Surgery Data in PCE function is removed.
       
      5. The Surgery to PCE interface is modified to send coding data from the 
         SURGERY PROCEDURE/DIAGNOSIS CODES file (#136). The interface now passes
         data to PCE in real time when the coder completes the coding process
         for a case. After a case is filed with PCE, if certain data passed to 
         PCE is changed within the Surgery software, the Surgery to PCE
         interface sends an update to PCE immediately. ICD coding related data 
         is updated through the Update/Verify Procedure/Diagnosis Codes
         [SRCODING EDIT] option.
      On/Off Switch, distributed with patch IB*2*260, is set to "ON". The ability
      for the local site to set the switch to "ON" will be provided at the
      appropriate time with the release of a subsequent Integrated Billing patch.
      PFSS patches are being released on various schedules. Some patch
       
      For more information about the PFSS project, review the documentation 
      accompanying this patch and refer to the following website: 
      http://vista.domain.ext/billreplace/
       
      Features of patch SR*3*142 are listed below:
       
      1. Modified Surgery Coding Option
         Coders currently use the Update/Verify Procedure/Diagnosis Codes 
         [SRCODING EDIT] option, which updates coded data directly in the 
      functionality will not be active until a new PFSS switch is activated
         SURGERY file (#130). However, the SURGERY file (#130) does not
         currently make a distinction between procedure and diagnosis data
         entered by clinicians and that entered by coders. Today, coding a
         surgical case impacts the clinical data for the patient and causes an
         addendum to be generated because each code is directly associated with
         a free-text procedure or diagnosis entry. This patch separates final
         coded procedures and diagnoses from the clinically captured procedures
         and diagnoses.
       
         A new file, the SURGERY PROCEDURE/DIAGNOSIS CODES file (#136), is
      during final implementation. PFSS will initially be implemented at select
         created to store coded procedure and coded diagnosis data for a Surgery
         case. Data entered into this file will be the new source coding data
         sent by the Surgery package to PCE. In the SURGERY file (#130), the
         existing PRINCIPAL CPT Code field (#27), PRIN DIAGNOSIS CODE field 
         (#66), OTHER PROCEDURE CPT CODE field (#3 of sub-file #130.16) and ICD
         DIAGNOSIS CODE field (#3 of sub-file #130.18) are modified to include
         the word "PLANNED" in the field labels and titles.
         
         The Update/Verify Procedure/Diagnosis Codes [SRCODING EDIT] option is 
         modified to allow entry of final billing Current Procedural 
      pilot sites ONLY.
         Terminology (CPT) codes for surgical procedures and International
         Classification of Disease (ICD) diagnosis codes in the SURGERY
         PROCEDURE/DIAGNOSIS CODES file (#136).
       
         Modified features of the Update/Verify Procedure/Diagnosis Codes
         [SRCODING EDIT] option are listed below:
         - Upon record creation for a case in the SURGERY PROCEDURE/DIAGNOSIS
           CODES file (#136), the record will be auto-populated with clinician
           entered coding data, if any, from the SURGERY file (#130).
         - A principal ICD code and a principal CPT code are initial
       
           requirements for coding a surgical case. 
         - An unlimited number of ICD codes may be entered for other diagnoses
           and an unlimited number of CPT codes may be entered for other
           procedures performed.
         - Each CPT code entered must be assigned the associated ICD code(s)
           related to the procedure performed.
         - An unlimited number of CPT modifiers may be entered for each CPT code
           entered.
         - For every ICD code entered, the following questions must be answered
           as appropriate for the patient based upon enrollment indicators:
      The purpose of the PFSS project is to prepare the Veterans Health 
           o Treatment related to Service Connected condition?
           o Treatment related to Agent Orange Exposure?
           o Treatment related to Ionizing Radiation Exposure?
           o Treatment related to Environmental Contaminant Exposure?
           o Treatment related to Military Sexual Trauma?
           o Treatment related to Head and/or Neck Cancer?
           o Treatment related to Combat?
         - Upon completion of coding for a case, the coder is allowed to mark
           the record as complete and to send the record immediately to PCE.
         - Before allowing the record to be marked as complete, the option
      Information Systems and Technology Architecture (VistA) environment for the
           checks to see if a specific code, 065.0 CRIMEAN HEMORRHAGIC FEV, is
           entered as a diagnosis code. If it is entered, the software prompts
           the user to make sure that the code is correct for the case. This
           check is added to prevent the inadvertent assignment of code 065.0
           when "CHF" is entered for the Principal or Other ICD Diagnosis
           codes.
         
      2. Modified Surgery Reports and Other Options
         - The following Surgery reports and options as modified to use the
           coder entered CPT and/or ICD codes from the SURGERY 
      implementation of a commercial off-the-shelf (COTS) billing replacement
           PROCEDURE/DIAGNOSIS CODES file (#136):
           o Cumulative Report of CPT Codes [SROACCT] option
           o Report of CPT Coding Accuracy [SR CPT ACCURACY] option
           o List Completed Cases Missing CPT Codes [SRSCPT] option
             Note: The option descriptions are updated to read "The List
             Completed Cases Missing CPT Codes option generates a report of
             completed cases that are missing the Principal CPT code for a
             specified date range."
           o Annual Report of Surgical Procedures [SROARSP] option
           o PCE Filing Status Report [SRO PCE STATUS] option
      
    • 146 SEQ #146
      DATE APPLIED:   2006-05-04 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. At many sites the Risk Assessment Nurse Reviewers are involved with the
         [SROA ENTER/EDIT] and Cardiac Risk Assessment Information (Enter/Edit) 
         [SROA CARDIAC ENTER/EDIT] menus.
       o The Alert Coder Regarding Coding Issues [SROA CODE ISSUE] option will
         not check the PFSS On/Off switch.
       o The Alert Coder Regarding Coding Issues [SROA CODE ISSUE] option will
         display basic surgery case information including Patient, Case Number,
         Surgery Date, and Procedure.
       o The Alert Coder Regarding Coding Issues [SROA CODE ISSUE] option will
         display the following coded information:  the PRINCIPAL CPT CODE, OTHER
         CPT CODE, and PRINCIPAL DIAGNOSIS CODE.
      Health Information Management Systems (HIMS) staff in determining the
       o The Alert Coder Regarding Coding Issues [SROA CODE ISSUE] option will
         allow the Reviewer to enter a free text comment field to send coding
         concerns to the coder, as well as to members of a predefined mail group
         identified in the CODE ISSUE MAIL GROUP parameter.
       o Values for the CODING COMPLETED BY field (#.01) of the CODING 
         COMPLETED BY multiple (#136.011) of the SURGERY PROCEDURE/DIAGNOSIS
         CODES file (#136) or the CODE ISSUE MAIL GROUP will be present when the
         user selects the Alert Coder Regarding Coding Issues [SROA CODE ISSUE]
         option. If neither are valued, the user will be notified that the
         message cannot be sent without one of these two items defined.
      final codes for a Surgery case. An Alert Coder Option will allow the Risk
       o The CODE ISSUE MAIL GROUP field (#43) is added in the SURGERY SITE
         PARAMETERS file (#133) to allow the site to create a designated mail
         group for the Alert Coder Regarding Coding Issues [SROA CODE ISSUE]
         option.
       o The Surgery Site Parameters (Enter/Edit) [SROPARAM] option within
         the Surgery Package Management Menu [SRO PACKAGE MANAGEMENT] option is 
         modified to allow entry and editing of the new CODE ISSUE MAIL GROUP.
       
      2. When creating a request from a waiting list entry, the Surgery screen 
      server incorrectly displays "SCHEDULING" in the screen header. This patch 
      Assessment Nurse Reviewer to alert the coder if there is a question on the
      makes a modification to display "REQUEST" instead.
       
      3. This patch corrects problems with the two trigger cross references that
      were added to the SITE field (#.01) of the SURGERY SITE PARAMETERS file
      (#133) by patch SR*3*150.
       
      Note: This patch includes a post-installation process that updates each
      entry in the SURGERY SITE PARAMETERS file (#133) as follows:
       - UPDATES TO PCE field (#18) is set to ALL CASES.
       - ASK CLASSIFICATION QUESTIONS field (#19) is set to YES.  
      Current Procedural Terminology (CPT) or International Classification of
      Diseases (ICD) codes on a Surgery case.
       
       o The new Alert Coder Regarding Coding Issues [SROA CODE ISSUE] option
         will appear on both the Non-Cardiac Assessment Information (Enter/Edit)
      
    • 152 SEQ #147
      DATE APPLIED:   2006-06-08 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      Project 112/SHAD (Shipboard Hazard and Defense) is a new environmental 
       
         The Project 112/SHAD information will be forwarded to Patient Care 
         Encounter (PCE) as part of the normal case coding activities.
       
      2. This patch will prevent the PRIN PRE-OP ICD DIAGNOSIS CODE field
         (#32.5) of the SURGERY file (#130) from being sent to PCE.
         
      3. This patch adds the Alert Coder Regarding Coding Issues [SROA CODE 
         ISSUE] option to the Surgery Risk Assessment Menu [SROA RISK 
         ASSESSMENT] option.
      indicator added to VistA as part of the Enrollment System Redesign (ESR) 
      project.
       
      1. This patch provides the ability to enter and edit Project 112/SHAD
         Environmental Indicator information in the Surgery package. The 
         patient's Project 112/SHAD enrollment status is displayed when creating
         or editing a surgical case, and the user will be prompted to answer the
         Project 112/SHAD questions with "yes" or "no".
      
    • 144 SEQ #148
      DATE APPLIED:   2006-06-14 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      This patch is part of the Patient Financial Services System (PFSS) 
      replacement system. The project consists of the implementation of the 
      billing replacement system, business process improvements, and 
      enhancements to VistA to support integration with the COTS billing 
      replacement system. Significant changes to VistA legacy systems and 
      ancillary packages are necessary.
       
      Some of the PFSS software components are not operational until the PFSS 
      On/Off Switch, distributed with patch IB*2*260, is set to "ON". The 
      ability for the local site to set the switch to "ON" will be provided at 
      the appropriate time with the release of a subsequent Integrated Billing 
      project. PFSS patches are being released on various schedules. Some patch
      patch.
       
      For more information about the PFSS project, review the documentation 
      accompanying this patch and refer to the following website: 
      http://vista.domain.ext/billreplace/
       
      Features of patch SR*3*144 are listed below:
       
      1. The VistA Surgery software will be enhanced to request an account
         number for every Surgery Request Consult. This activity will support
      functionality will not be active until a new PFSS switch is activated
         the Revenue Office's need to pre-certify with insurance companies the
         requested Surgery. A national guideline will be issued defining the
         minimum format for creating a Surgery Request Consult within the VistA
         Consults package that will collect the data required by PFSS. The
         Surgery Request Consult will not create a Surgery case. This guideline
         does not require that sites use the Consults package for creating
         Surgery requests. Sites using VistA Surgery Request options can
         continue to use that approach.
       
         VistA Surgery will be enhanced to also request a PFSS ACCOUNT
      during final implementation. PFSS will initially be implemented at select
         REFERENCE, and it will be stored in the PFSS ACCOUNT REFERENCE field
         (#500) of the SURGERY file (#130). The association to a PFSS ACCOUNT
         REFERENCE is obtained when the Surgery case is created and is sent to
         the PATIENT CARE ENCOUNTER (PCE) application upon completion of coding.
       
      2. This patch changes the List Completed Cases Missing CPT Codes [SRSCPT]
         option to list only those completed cases that do not have a final CPT 
         code entered in the PRINCIPAL PROCEDURE CODE field (#.02) of the
         SURGERY PROCEDURE/DIAGNOSIS CODES file (#136).
      pilot sites ONLY.
       
      The purpose of the PFSS project is to prepare the Veterans Health 
      Information Systems and Technology Architecture (VistA) environment for 
      the implementation of a Commercial Off-The-Shelf (COTS) billing 
      
    • 156 SEQ #149
      DATE APPLIED:   2006-07-11 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      1. The Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option for
         Non-Cardiac assessments is corrected to display the PRIN POSTOP
         DIAGNOSIS CODE field (#.03) stored in the SURGERY PROCEDURE/DIAGNOSIS
         CODES file (#136).
       
      2. The Print a Surgery Risk Assessment [SROA PRINT ASSESSMENT] option for
         Non-Cardiac assessments is corrected to display the PRINCIPAL PROCEDURE
         CODE field (#.02) stored in the SURGERY PROCEDURE/DIAGNOSIS CODES file
         (#136) when referencing CPT Codes for Returns within 30 Days.
      
    • 154 SEQ #150
      DATE APPLIED:   2006-08-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      An undefined error occurs when two users attempt to access the 
      same record at the same time.  One user is creating a surgery request and 
      the other is attempting to delete that same user request.
      
    • 158 SEQ #151
      DATE APPLIED:   2006-08-07 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      After installing patch SR*3*144, if the SURGICAL RESIDENTS (Y/N) field 
      correctly. This patch includes a post-installation process that will check
      each surgical case and correct any textual entries that may exist in the
      ATTEND SURG field (#.164) in the SURGERY file (#130).
      (#33) in the SURGERY SITE PARAMETERS file (#133) is NO, surgical cases for
      that division created using the Schedule Unrequested Operations [SROSRES]
      option will contain the textual name of the attending surgeon instead of 
      the pointer value in the ATTEND SURG field (#.164) in the SURGERY file
      (#130).
       
      This patch modifies the Schedule Unrequested Operations [SROSRES] option 
      so that the ATTEND SURG field (#.164) in the SURGERY file (#130) is set
      
    • 153 SEQ #152
      DATE APPLIED:   2006-08-24 00:00:00
      APPLIED BY:   USER,ONE
      DESCRIPTION:   
      his patch updates the Surgery Risk Assessment software of the Veterans
       
       o Modification to some of the user entries of fields that allow text to
         be entered to accept lower case or all CAPS
        - The NUM OF PRIOR HEART SURGERIES field (#352) is modified to allow the
          entry of lowercase letter "N" to represent "0 - NONE". Any existing
          N's will be converted to '0' for NONE by he post install routine.
        - The ESTIMATE OF MORTALITY field (#364) is modified to allow the entry
          of lowercase letter "ns" to represent "NO STUDY".
       
       o Modifications to the List of Surgery Risk Assessments [SROA ASSESSMENT
         LIST] option
      NOTE: All fields listed below are in the SURGERY file (#130) unless
        - Each report is modified to display the final CPT codes from the case
          coding record in the SURGERY PROCEDURE/DIAGNOSIS CODES file (#136).
        - List of 1-Liner Cases Missing Information (list #8) is added.
       
      General Surgery Items
      ---------------------
       o The PREOP HAIR CLIPPING BY field (#.12) is renamed HAIR REMOVAL BY.
       
       o The HAIR REMOVAL METHOD field (#506) and the HAIR REMOVAL COMMENTS
         field (#508) are added to the Operation Startup [SROMEN-START] option
      otherwise indicated.
         and the Operation (Short Screen) [SROMEN-OUT] option. Those two fields
         and the HAIR REMOVAL BY field (#.12) are added to the Nurse
         Intraoperative Report and became a mandatory documentation field to
         satisfy the record review process for quality measurement purposes.
       
      Cardiac Risk Assessment Modifications
      -------------------------------------
       o Modifications to the Clinical Information (Enter/Edit) [SROA CLINICAL
         INFORMATION] option
        - The software is modified to auto-populate the HEIGHT field (#236) and
          the WEIGHT field (#237) as documented in the Vitals software.
      Health Information Systems and Technology Architecture (VistA)
        - The Current Smoker item under this option is modified to reference to
          the new CURRENT SMOKER (CARDIAC) field (#510) instead of the old field
          CURRENT SMOKER field (#202), which will be utilized by the NSQIP
          options.
       
       o Modifications to the Laboratory Test Results (Enter/Edit) [SROA
         LAB-CARDIAC] option
        - The HEMOGLOBIN A1C field (#504) and the HEMOGLOBIN A1C, DATE field
          (#504.1) are added to the list of preoperative lab results.
        - The software is modified to use a date range of 1000 days prior to the
      Surgery application as requested by the Executive Board of the National
          date of operation when searching for the most recent preoperative lab
          test result for the HDL (CARDIAC) field (#457), the LDL (CARDIAC)
          field (#461), the TOTAL CHOLESTEROL (CARDIAC) field (#462), the SERUM
          TRIGLYCERIDE (CARDIAC) field (#458), and the HEMOGLOBIN A1C field
          (#504).
       
       o The Enter Cardiac Catheterization & Angiographic Data [SROA CARDIAC
         PROCEDURES] option is modified to allow all fields to be
         auto-populated with 'NS' (NO STUDY) when 'NS' is entered in the
         PROCEDURE TYPE field (#476).
      Surgical Quality Improvement Program (NSQIP) and by the Cardiac Surgery
       
       o Modifications to the Cardiac Procedures Operative Data (Enter/Edit)
         [SROA CARDIAC PROCEDURES] option
        - The GREAT VESSEL REPAIR (Y/N) field (#372) is moved to screen #1 under
          this option as item #20.
        - The ENDOVASCULAR REPAIR field (#505) is added in screen #1 as item
          #21.
        - The OTHER CT PROCEDURE field (#484) in the first screen is now
          replaced by the OTHER CARDIAC PROCEDURES (Y/N) field (#502). If this
          field value is "YES" the software will prompt the user for the OTHER
      Consultants Board of the Continuous Improvement in Cardiac Surgery
          CARDIAC PROCEDURES-LIST field (#484).
        - The OTHER NON-CT PROCEDURES field (#491) is removed from the second
          screen and a blank line is added before "Other Operative Data
          details" header.
        - The software is modified so that entering "N" for the VALVE REPAIR
          field (#370) shall result in "5. None". The existing N's will be
          converted to '5' upon patch installation.
        - This option is updated to reference the new MAZE PROCEDURE field
          (#512) as item 13 in the first data entry screen.
       
      Program (CICSP). These updates include the addition of new data fields,
       o A new occurrence category REPEAT VENTILATOR SUPPORT W/IN 30 DAYS is
         created in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5). This
         occurrence category will be selectable only for cardiac assessed cases.
       
       o The following fields on the Resource Data [SROA CARDIAC RESOURCE]
         option are modified to assume a default of "past date" when no year is
         specified:
        - ESTIMATE OF MORTALITY, DATE field (#364.1)
        - D/T PATIENT EXTUBATED field (#470)
        - D/T PATIENT DISCH FROM ICU field (#471)
      changes to existing data fields, changes to data entry screens, changes
       
       o This patch will allow the retransmission of a cardiac risk assessment.
       
      Non-Cardiac Assessment Modifications
      ------------------------------------
       o Modifications to the Preoperative Information (Enter/Edit) [SROA PREOP
         DATA] option
        - The software is modified to auto-populate the HEIGHT field (#236) and
          the WEIGHT field (#237) as documented in the Vitals software.
        - The PREGNANCY field (#269) is added to the NUTRITIONAL/IMMUNE/OTHER
      to reports used in Surgery Risk Assessment management process and changes
          section.
       
       o Modifications to the Laboratory Test Results (Enter/Edit) [SROA LAB]
         option
        - The PREOPERATIVE ANION GAP field (#444) and the PREOP ANION GAP, DATE
          field (#444.1) are added to the list of preoperative lab results.
        - The HIGHEST ANION GAP field (#445) and the HIGH ANION GAP, DATE field
          (445.1) are added to the list of postoperative lab results.
       
       o The Operation Information (Enter/Edit) [SROA OPERATION DATA] option is
      to the Surgery Risk Assessment transmissions.
         modified to add the INTRAOP DISSEMINATED CANCER field (#443).
       
      Other Risk Assessment Modifications
      -----------------------------------
       o The Print a Surgery Risk Assessment [SROA Print Assessment] option is
         modified to include the new data elements.
       
       o The transmissions to the national databases are modified to include the
         new fields.
       
      
    DATE INSTALLED AT THIS SITE:   1996-08-29 00:00:00
DESCRIPTION
The DHCP Surgery package is used to enter/edit and display information
related to the Surgical Service.  It will track surgical cases, provide
useful management reports, and produce the necessary documentation for
all surgical cases.
 
FILE
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   NO
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   YES
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   YES
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MAY USER OVERRIDE DATA UPDATE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   NO
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   NO
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   YES
    MERGE OR OVERWRITE SITE'S DATA:   MERGE
    MAY USER OVERRIDE DATA UPDATE:   NO
    SCREEN TO DETERMINE DD UPDATE:   N
  • UPDATE THE DATA DICTIONARY:   YES
    ASSIGN A VERSION NUMBER:   YES
    MAY USER OVERRIDE DD UPDATE:   NO
    DATA COMES WITH FILE:   NO
    MERGE OR OVERWRITE SITE'S DATA:   OVERWRITE
    MAY USER OVERRIDE DATA UPDATE:   NO
ENVIRONMENT CHECK ROUTINE SROPRE
POST-INITIALIZATION ROUTINE SROPOST
EXCLUDED NAME SPACE
  • SRCS
  • SRA