Name	Value
NAME	DENTAL
PREFIX	DENT
DEVELOPER (PERSON/SITE)	STEVE WAGNER
*LOWEST FILE NUMBER	220
*HIGHEST FILE NUMBER	229
DEVELOPMENT ISC	WASHINGTON
CLASS	National
SHORT DESCRIPTION	NATIONAL DENTAL PACKAGE
VERSION	1.2 DATE DISTRIBUTED: 2005-11-19 00:00:00 PATCH APPLICATION HISTORY: 20 SEQ #19 DATE APPLIED: 1996-08-19 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Dental Version 1.2 Patch 20. 29 SEQ #28 DATE APPLIED: 1999-10-19 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This is patch 29 of Dental version 1.2. 30 DATE APPLIED: 2001-09-26 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: DENT1.230 provides the integration of the vendor Document Storage the process (required as a condition for the national purchase). Systems' (DSS) Dental Record Manager (DRM) product into the VistA Dental package. One of the conditions of the national purchase of DRM was that the existing VEJDWPD module from DSS would be converted to the DENTV namespace and the files ^VEJD(19600.x) would be moved to ^DENT(228.x). The original VEJDWPD package stored some data elements in the Dental History file (#19600.1) that the Database Administrator considered duplicate data (i.e., PCE data elements). A post-init will move the Dental History file to file# 228.1 and will remove those data elements in 33 SEQ #30 DATE APPLIED: 2001-12-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch ICD18.02 was released 11/2/2001. That patch inactivated several ICD9 521.0 or 525.1 which were inactivated by the ICD182 patch as of Oct 1, 2001 ICD9 code 521.0 will be remapped to 521.00 ICD9 code 525.1 will be remapped to 525.10 The post-init will check three things: 1. It checks to see if all nationally export ADA codes are indeed in file 228. A few sites have reported that one or two codes were not in their file 228 even though it was exported. codes used in the dental DENTAL CPT CODE MAPPING file (#228). That file has a 2. The GUI option context, DENTV DSS DRM GUI, has the list of all the RPCs that the DRM GUI may execute. A few sites have reported that one or two RPCs are not in the option even though they were exported. The post-init will ensure that all required RPCs are part of the option. 3. Because of the problem caused by ICD18.02, the post-init will check every CPT and ICD9 code in file 228 (both national codes and locally added codes) for any problems. A report will be displayed detailing any problems found. list of CPT procedures used in the dental DSS DRM application. Those 4. You will find any of these pertinent messages in the installation after the line: Running Post-Install Routine: POST^DENTVIP1. procedures have a default diagnosis associated with each procedure. This patch consists of file 228 and a post-init routine. It exports the file DENTAL CPT CODE MAPPING (#228) with updated diagnosis codes. Specifically, there were 244 CDT3 codes mapped to diagnosis codes 32 DATE APPLIED: 2001-12-10 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: I. v3.0 of the dentalmrm.exe switched two service conditions: III. If DENT1.230 was installed in an account which did not have a previous version of DRM (VEJDWPD versions), then the multiple field 19600 on file 220.5 was not installed and an error message was recorded in the KIDS installation record. That multiple will now install properly in a new account. IV. The Excel extract option would fail occasionally. This happened because the Fileman API used to retrieve data from file 228.1 would not always return data for all the requested fields. This was environmental contaminants (or Persian Gulf) and ionizing radiation. especially true for a pointer field that pointed to a non-existent entry. This call was modified to protect against that contingency. The extract will also return any pce secondary providers. V. The retrieve dental history tab would not always return data. The call would quit and return no data if Fileman indicated any error while retrieving data. For example, the Dental History file has a pointer to the old DAS file linked to that history record. If that DAS record had been deleted (i.e., a broken pointer) Fileman would return an error. Even though the other 11 fields requested for that Thus patients with these conditions ended up having action required Dental History record had data, the call would return no data for that record. Now the data for that record will be returned. Those fields which encountered an error by the Fileman retrieve call will be shown as a null value. VI. All calls to retrieve data from the CPT file (#80) are required to use the APIs in ICPTCOD routine. Most places we were doing that. But there were two times when we did a direct Fileman call to file 81. Those places have been replaced by using the appropriate API in ICPTCOD. in PCE. VII. In patch DENT1.230 the installer was prompted as to whether or not to delete the ^VEJD(19600) global. The documentation was not accurate in displaying this. This file and data global should have been deleted since the file was moved to file 228 [^DENT(228)]. The post-init will check the status of ^DIC(19600), ^DD(19600), and ^VEJD(19600) and do any appropriate cleanup to remove these entries. VIII. Dentalmrm.exe (v3.03) is exported as part of this patch. You can verify the version of the dentalmrm.exe from the Help/About option on the menu bar in the DRM GUI. IX. This patch will work with CPRS v16 or greater INSTALLATION FILES: ================== File Name Description Retrieval Format ----------------- --------------------------- ---------------- DENT_1_2p32.KID Dental KIDS build ASCII II. There was a problem with filing administrative times. Some sites dentalmrm.exe DRM Version 3.03 Executable Binary would get the message unable to create record. When the call to UPDATE^DIE was made to create a record in file 226, the Fileman call failed if there were any required identifiers on fields .3,.4,.6,.9 34 DATE APPLIED: 2003-01-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: I. This is released to support the Millennium Healthcare and Benefit III. This patch supports the entry of Head & Neck Cancer for PCE entry when appropriate. IV. For the Dx999 procedure codes, the mapping values to VistA DAS (Dental Activity System) have changed. A. For each code, one CTV will be mapped to DAS category '37-OTHER SIGNIFICANT TREATMENT'. B. These codes will now appear under the MISC tab in the DRM GUI. Act, Public Law 106-117 Section 20. C. These codes will not be used for billable procedures, but, rather, will be used to indicate a non-billable visit. These codes will generate one CTV into the DAS category "Other Significant Procedures." The codes may be used for intermediate steps and all similar non-billable patient visits. D. These mapping changes will require that practitioners select any code(s) NOT in the "99 Series" (D0999, D2999, D3999, D4999, D5899, D5999, D6199, D6999, D7999, D8999, and D9999) for "billable" procedures. Practitioners are advised to select the closest CDT code(s) outside the "99 Series" for any procedure that is considered "billable," and, therefore, results in clinical productivity related to procedures identified by the CDT codes not in the "unspecified" category (the "99 Series"). V. There are two new RPCs DENTV DENTAL PROVIDER - returns active providers only DENTV USER DEFAULT DIV - returns a user's default division as defined in the NEW PERSON DIVISION multiple. II. This patch, DENT1.234, along with VEJDCERT RPCS 2.11 are being VI. XINDEX will show the following error. This is not a problem. It is problem with the XINDEX program. There is an outstanding NOIS concerning this error message. DENTVRP8 .S XN=+PROV_U_$$NAMEFMT^XLFNAME(XN,,"MD") VST+37 F - General Syntax Error. VST+37 F - General Syntax Error. released in a single KIDS software distribution. This patch contains the informational portion of DENT1.234 and provides field personnel with instructions on how to acquire, install, and implement the software. 35 DATE APPLIED: 2003-03-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Note: several places in this patch description have items highlighted. errors. entry which was longer than the width of that window would not be completely displayed. Now if you hover over an entry, a hint will be displayed showing the entire contents. 8. The following routines which supported previous patch pre- and post-install processes will be deleted: DENTVCNV, DENTVI01, DENTVI02, DENTVI03, DENTVI04, DENTVI05 9. The DENTVRP3 routine was updated to bring it into complete SACC compliance by not doing direct reads of the ^DD global. When filing ICD9 codes to the ADA table (#228) it was possible that the name of the ICD9 code was entered into field 1 instead of the pointer value to file 80. Note: the ICPT6.013 patch inactivated quite a few ADA codes with an inactivation date of 1/1/2003. As such, these codes will no longer show up in any tab within DRM. Please see the documentation accompanying patch ICPT6.013 for details in changes to specific codes. ******************************************************************* 2. This patch provides compatibility with the 2003 CPT and CDT4 codes The purpose of these highlights is to emphasize areas to pay particular A new ADA Mapping table (file 228) will be installed NOIS: ALB-0502-51618, FGH-0602-32626 3. A pre-installation routine will perform several steps a. Save local CPT codes the site has added to the ADA table b. Delete the existing ADA table 4. A post-installation routine will perform several steps a. Verify that all CPT codes in the dental provider's quick list are still active. If not, delete that code from the quick list attention. These should answer possible questions or concerns that IRM b. Restore any locally added CPT codes to the ADA table unless that code is exported nationally with this patch or that code is inactive. c. The dental coding committee spent considerable time assigning default diagnosis codes to each ADA code. As such, any changes the site had made to the associated default diagnosis codes will not be preserved. or the installer may have. 5. If the old data global, ^VEJD(19600.1), still exists, then delete it. A previous DENT patch had moved that data to ^DENT(228.1). 6. The DENTVDD routine was modified to remove direct references to the ^DD global. Supported Fileman APIs are used instead. 7. A new routine is exported, DSICCPT. This routine provides an interface to the CPT and ICD9 files using nationally supported APIs. ********************** PLEASE NOTE *********************** The Release of Information application had DSIC 1.0 (or DSIC 1.01) as part of that package. This DSICCPT routine was not exported in those builds. So there is no conflict between this patch and the Release of Information 5.0 application. DENT1.231 is to be released in the next couple of months and will include DSIC 1.1 which will include this DSICCPT routine as well as other changes. **************************************************************** 8. A new DRM GUI executable is exported with this patch. Changes include: 1. ************* ATTENTION ATTENTION **************** a. Inactive Diagnosis codes (ICD9) will no longer be selectable in the search engine window. NOIS: ASH-1201-31869, BRX-0602-12946, MIN-1102-40433, NHM-0202-11852, PUG-0502-52312, WIM-0902-22158 b. In the Help Menu bar we have added a last broker call debugging tools similar to the CPRS one. c. Fixed List out of Bounds errors. This could have happened when typing the progress note title in the search window. It could also occur occasionally when the FINISH button was clicked and This patch should be installed immediately after installing the program was trying to file data to the Problem List. NOIS: BIG-0103-70399, MOU-0103-30859, MWV-0103-22436, PHI-0103-22339, SFC-0103-62181, UNY-0103-11934 d. Fixed an Access Violation error when DRM closes out NOIS: ALT-0102-21002 e. Printing of signed addendum notes when prompted for additional signers now works if the check box is selected. ICPT6.013 If it is not, then when the user clicks on the FINISH f. Completing a consult will now link to the proper Visit instead of creating a new historical Visit. g. Previous there were occasional problems if the FINISH button was clicked multiple times. Now the FINISH button will ignore the second and subsequent clicks until the all the DRM data including filing of progress note has completed which may take several seconds. h. There is now a Excel Extract option under the Tools option on the button in Dental Record Manager (DRM) they may generate PCE exception Menu Bar i. Whenever a TIU note is printed within DRM, the header will have the words "(WORKING COPY)" j. If the DRM window is open and you change patients within CPRS, then the DRM window will now show itself in front of CPRS instead of behind it. k. Previously, in the Visit selection window pull down list, any 36 DATE APPLIED: 2003-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1. Patch 35 exported a new ADA Table, file 228, which supported CDT4 ADA table. DRM also allows for the sites to change the default ICD9 This patch should be installed when there are no dental DRM processes running. The installation time should take less than 5 minute. 1. For DSM sites review your mapped set. Disable any of the above routines if necessary. 2. From the Kernel Installation and Distribution System Menu, select the Installation menu. 3. You may elect to use the following options (when prompted mapping for a CDT code. The post-install program was suppose to for INSTALL NAME, enter DENT1.236): a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 4. Use the Install Package(s) option and select the package DENT1.236. 5. When asked "Want KIDS to INHIBIT LOGONS during the install? Yes//", respond "NO". restore those local changes to the ADA table. But it did not due to 6. When prompted "Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//", respond "NO". 7. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary. 8. ******************* NOTE NOTE NOTE ******************* Please review the Install log to see if there were any problems reported in the post-installation process. If so you will see a programming bug. This is fixed in this version. However, this text not displayed in the installation example. Following are some of the text you may or may not see. **************************************************************** A. WARNING MESSAGES These are just warning messages. Nothing is wrong. Read all the associated text for more detailed explanations. >>>>> Local CPT codes not added to the new ADA table <<<<< >>>>> CPT codes who had inactive Diagnosis codes mapped to them <<<<< patch cannot put back those locally mapped CPT codes that were B. This should never happen. If you see this message, just follow the instructions displayed Unable to lock the ^DENT(228) global. Any local changes not restored You can rerun this restore post-install option after the KIDS install has completed. 1. Get to programmer's mode through Kernel sign-on This ensures that the Kernel environment variables are set deleted with patch 35. 2. Be sure your DUZ(0)="@" - this can be done from programmer's mode by VAH>S DUZ(0)="@" 3. From programmer's prompt, VAH>D RESTORE^DENTVIP1 3. Some of the CDT4 codes exported in the patch 35 ADA Mapping Table did not have NUM SURFACES indicated when they should have. Thus user was not prompted for surfaces within the DRM GUI. codes and ICPT6.016 compatibility. Each CPT mapping has 19 NOIS: CHS-0403-41619 4. When using Fileman on file 228.1 and entering '??' at the Select Dental History prompt, you may get an <UNDEF> error. This was due to a bad Identifier on this file. NOIS: IND-0403-41306 Technical Description --------------------- 5. Changes to Data Dictionary for file 228 associated fields. A few of those CPT codes had incorrect values for A. B index changed from a traditional to a Key uniqueness index B. DATA TO PUT IN DENT(221) field 1) Input transform changed to allow for CHK^DIE to be used as that Fileman API does not use the internal record number. 2) Executable Help changed to allow to be invoked by Fileman APIs that do not require internal record number. 3) Changed the field name from DATA TO PUT IN DENT(221) to DATA FOR FILE 221. C. PRIMARY field - a new set of codes value was entered, Either. This code will be used in the future some of their fields. While reviewing that table, Dental VAHQ and D. FIELD FROM FILE 221 field 1) Field type was changed from numeric to free text 2) Input transform redone to make it more clear 3) Output transform redone to make it more clear E. #SURFACES field was renamed to NUM SURFACES F. New field added, PREV PRIMARY DIAGNOSIS (#25). This contains the default diagnosis for that CPT code in the previous version G. Field 1, DX ICD9, was changed to make it required 6. Changes to routines (tag^routine) its coding task group decided to change many other individual field A. DENTVDD 1) FLD4 - changed from being called by DO to being called by DO with parameter passing. For fields 19 and 34 in file 221, FLD4 will no longer write to the screen 2) FLD4E - changed from being called by DO to being called by DO with parameter passing. 3) NUM - logic redone to make it more clear 4) ID - fixed an <UNDEFINED> error at ID+6 NOIS: IND-0403-41306 B. DENTVUTL values for quite a few CPT codes. 1) CPT - changed to call CPT^DSICCPT. Removed the appending of the text '[PRIMARY]' to the CPT short description when the ADA table (#228) has the PRIMARY flag set for this CPT. 2) CPTIEN - changed to call CPT^DSICCPT 3) ICD - changed direct global access of data in file 81 to calling ICD^DSICCPT C. DENTVIP2 - new routine REQUIRED BUILDS: DENT1.235 =============== Test Sites: ========== Manhattan Minneapolis NOIS ADDRESSED BY PATCH ======================= CHS-0403-41619 2. The post-installation program in DENT1.235 did not work as IND-0403-41306 ROUTINE SUMMARY: =============== The second line of each DENT routine will look like: <tab>;;1.2;DENTAL;[patch list];Aug 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- -------------- intended. DRM allows the sites to add local medical codes to the DENTVDD 2851120 2804408 30,35,36 DENTVIP 1402389 704530 30,32,34,35,36 DENTVIP1 8913694 8645242 33,34,35,36 DENTVIP2 -n/a- 14330152 36 DENTVRP1 4976236 5016139 30,34,36 DENTVUTL 4283389 3529137 30,33,34,36 INSTALLATION INSTRUCTIONS FOR DENT_1_2P36.KID ============================================= 31 DATE APPLIED: 2003-11-07 00:00:00 APPLIED BY: USER,ONE 37 DATE APPLIED: 2004-05-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: 1.General Information the DENTAL TREATMENT file (#221), the leading zeros were dropped from station radio button(s) are shown. If there is only one station, then that station is pre-selected on the screen. H.Display all messages when the "DAS record not created" error (or other error) is encountered. NOIS: HVH-1203-11045, BRX-1203-11654, MIA-1203-31153, NCH-1203-41248, LAH-1203-62134, UNY-0104-10313, HWH-0204-40857, MON-0204-50811 I.If the user clicks on the "Add to Quick List" button on the Search form and clicks cancel, any new entries will be refreshed on the screen. the provider ID number. Only those 4 digit provider IDs whose value was J.Due to changes in the law, there is no longer any differentiation of the types of POWs. Therefore, CLASS IIB is no longer to be used. K.Edited unsigned notes will now file correctly in DRM. L.Notes and Addendums created from the Clinical Record tab will now word wrap correctly. Notes will not be allowed to have a future date. M.A message will be displayed after spell checking has completed. less than 1000 were affected. The leading zeros will be replaced and any 6.ENHANCEMENTS TO THE DRM APPLICATION ======================================================================== A.Dental Fee Basis is part of this patch. A new menu option on the DRM File Menu displays a screen to enter/edit/delete Fee Basis information for the selected dental patient. The Fee Basis information will not be transmitted to Austin until the DRM HL7 enhancement has been completed, but reports will be available on-line in Patch 38. The new Fee Basis option should not be used exclusively at this time. Users should continue to use their existing Fee Basis option through VistA which affected cross-references will be re-built. updates file 222 - DENTAL FEE BASIS (AMIS) since that information is being transmitted to Austin. B.This patch enables Dental to be billing aware for patches to be released in FY2004. PCE changes supporting the billing awareness project is PX1.0124. The changes to these dental routines will work whether or not that PCE patch is installed. The PCE patch preserves the linkage of diagnosis codes to a CPT code when a program invokes DATA2PCE^PXAPI such as the dental program. The PCE APIs to retrieve the CPT data for a VISIT were also modified to return the current diagnosis linkage for each CPT code. If that PCE patch is not installed, the dental program will work as it always has. The two functions affected are the filing of data when the FINISH button is clicked and when DRM retrieves historical data. The extract (Excel) function will be made billing aware in another dental patch. 7.NOIS ADDRESSED BY THIS PATCH ========================================================================= NYH-1203-11181 TOM-1203-41027 UNY-1203-10667 MAN-0803-11685 The patch installation process should take be less than 5 minutes. HOU-1203-70105 HVH-1203-11045 BRX-1203-11654 MIA-1203-31153 NCH-1203-41248 LAH-1203-62134 UNY-0104-10313 HWH-0204-40857 MON-0204-50811 8.INSTALLATION FILES ======================================================================== How to Obtain KIDS File File Name: DENT_1_2P37.zip FTP format: binary The post-installation conversion process may take several hours DENT_1_2P37.zip file will contain the following files: FTP File Name Description Format ------------------ ------------------------------------------ ------ Dent_1_2p37.kid KIDS file which will install 1 KIDS Builds ASCII DENT1.237 Dentalmrm.exe DRM Version 3.11 executable Binary Dent_1_2_p37ug.doc Dental Record Manager's user guide Binary The guide was updated for Fee Basis depending upon the number of records in file 221 - this process will be Dent_1_2p37_rn_ig.doc DENT1.237 Release Notes and Binary Installation Guide P37_patch_description.txt This file ASCII The zip file listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: tasked off. CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] 9.REQUIRED BUILDS: DENT1.231 DSIC1.21 XU8.0229 10.TEST SITES SYSTEM ALPHA/BETA ======================================================================== Manhattan, NY (VMS DSM) ALPHA Bath, NY (VMS DSM) BETA Fargo, ND (W2K Cache/Thin Client) BETA Tomah, WI (VMS Cache) BETA Hines, IL (NT Cache) BETA ======================================================================== 11.ROUTINE SUMMARY ======================================================================= Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV031 [* to be deleted] DENTV03A [ to be deleted] 2.SYSTEM ACCESS DURING INSTALLATION DENTV03B [ to be deleted] DENTV037 n/a 2646025 37 DENTVFB n/a 2775003 37 DENTVRF 1357987 1331212 31,37 DENTVRF0 3183908 3455104 31,37 DENTVRF1 5110544 5236302 31,37 DENTVRF2 3458244 4641313 31,37 DENTVRF3 7764989 7876724 31,37 DENTVRF4 6882060 7883662 31,37 DENTVRH 5515191 6429972 31,37 ======================================================================== DENTVRP1 5053952 5080599 30,34,36,31,37 DENTVRP2 1100213 1429573 30,31,37 12.INSTALLATION INSTRUCTIONS FOR DENT1.237 ======================================================================= This patch must be installed when there are no dental DRM processes running. All open DRM GUI applications must be closed. The installation time should take less than 5 minutes. Installation of this patch does not require users to be off of the 1. Obtain the Dent_1_2p37.kid file 2. For DSM sites review your mapped set. Disable any of the above routines if necessary 3. From the Kernel Installation and Distribution System Menu, select the Installation menu 4. Use Load a Distribution and enter Dent_1_2p37.kid when prompted for a Host file. You may need to attach a directory name system. However, all Dental users should not use the DRM GUI option 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.237) a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.237 7. For the install prompts, enter either Yes or No depending upon the while the patch is being installed. All Dental users MUST close any normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary 9. This step must be completed for this patch to work properly open DRM GUI application prior to the patch being installed. Once the a. ...\ will indicate your UNC/path for where the current DRM v3.1.0.23 dentalmrm.exe is located b. Move dentalmrm.exe to ...\DOCSTORE patch has completed then the users can use the DRM application. ******************************************************************* * There is a new DRM executable exported with this patch. This * This patch contains fixes and enhancements to the Dental Record Manager * executable MUST be deployed PRIOR to Dental users accessing the * * DRM application after the patch has been installed. * ****************************************************************** 3.PRE-INSTALLATION PROCESS ======================================================================== A.A pre-install process will delete the Data Dictionaries for the following file and any associated templates (INPUT, PRINT, SORT) and any FORMS. No data will be deleted. The file affected is: 228.1 (DRM) application. This patch also contains a new M Global for DRM in B.The pre-install process will also delete field .5 from file 221. This field will be reinstalled as part of the patch. The old AF x-ref has been replaced with a new Trigger cross-reference to set the .4 field. C.The temporary "ACNVT31" cross-reference on file 228.1 will be deleted. This cross-reference was used in Patch 31 to keep track of which records needed to be converted. 4.POST-INSTALLATION PROCESS ======================================================================== the DENT namespace - ^DENT(228.5 for the Fee Basis enhancement. The post-install routine will queue up a Taskman job to convert file 221. The Provider Number field (.4) in file 221 will be converted if it is less than 4 characters long. Leading zeros will be added to the number (e.g. 494 will become 0494), and the affected cross-references for field .4 will be re-built. ********************************************************************** * * * THE FOLLOWING STEP BE COMPLETED FOR THIS PATCH TO WORK PROPERLY * * * ************************************************************************ At this point, the KIDS install will have completed. IRM needs to place the DRM GUI executable in the appropriate directory. The placement of this DRM executable can be done at the same time the KIDS build is being installed. The executable must be placed as follows where ...\ indicates your UNC/path for where the current DRM v3.1.0.23 dentalmrm.exe is located: Move dentalmrm.exe to ...\DOCSTORE A database conversion will be run as part of the post installation. The 5.FIXES TO THE DRM APPLICATION ======================================================================== A.Remove screening of dental patient category based on inpatient status. NOIS: NYH-1203-11181, TOM-1203-41027, UNY-1203-10667 B.Delete any inactive CPT codes on an users quick list. NOIS: MAN-0803-11685 C.Under certain circumstances, DRM did not honor the choice of filing flags on a per CPT code basis. Now, it will only file to PCE or DAS conversion fixes the dental provider number when the number starts with or DES if explicitly indicated. The default is to file to all three. Filing to Dental History only will now display the correct date on the Dental History tab. NOIS: HOU-1203-70105 D.Fixed misspelling of word "immumization" to " immunization" which caused a "List Index out of bounds" error when clicking on the Immunization button in Clinical Record tab. When immunizations are imported into a note, there will be a space and a header before the data. one or more zeros (as in 0494). Because of an old cross reference on E.Utilize new rpc call - ORWPS ACTIVE to import meds list into the TIU Note and TIU Note Addendum. F.The default date range in Import Lab Results was always using a date range of 180 days back, but now this button uses the user parameter for lab days range. G.Change logic to get default division only if user has more than one station. The default division will be pre-selected wherever the 38 DATE APPLIED: 2004-08-02 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information (DAS FIELD, DAS DATA) based on the ADA table. The second conversion Most of these fields are used in DES Reports. G. A Fileman error was occurring when entering single letter look-ups (e.g., "B") in the Provider lookup screen. This screen is displayed when clicking the New button on the Provider Edit screen, or when selecting the optional Provider checkbox on the Extract screen, or when selecting to file an encounter under another provider's name. The error has been fixed. This type of error was also occurring on the User lookup screens (User Inquiry and user selection within the Administrator Toolbox), and was also fixed. changes the DIVISION pointer in file 228.1 from a pointer to file 40.8 H. CPT code search was returning D2950 when the code D2951 was entered. This has been fixed. I. The word 'Extract' was spelled incorrectly on the old Extract History Data screen. It's now correct. J. Consults were not being completed when the user Double-Clicked them, only when the consult was single-clicked. Now they will complete either way. NOIS: MIA-0304-30860 to a pointer to file 4. The DD is being sent for this field to change K. Change the field definition for field 1.18 in the TREATMENT PLAN TRANSACTION/EXAM file (#228.2). This field was not used, and will now store the HL7 transmission status. L. A new field called TP RECORD (.06) was added to the TREATMENT PLAN TRANSACTION/EXAM file (#228.2). The field will be set to 1 for Treatment Plan (DRM+) transactions to differentiate them from DRM. M. A new field called TREATMENT FLAGS (1.202) was added to the TREATMENT the pointers. The final conversion removes the TIU Note pointer data PLAN TRANSACTION/EXAM file (#228.2). The field will be contain the tooth-related flag. N. The SURFACES (.16) field in the TREATMENT PLAN TRANSACTION/EXAM file (#228.2) was renamed to SURFACES/ROOTS and the field definition now allows 1-7 characters (upper/lower) vs only uppercase characters. ENHANCEMENTS TO THE DRM APPLICATION ======================================================================== from file 228.1. A. DES Reports are part of this patch. This enhancement provides six dental reports for the local VistA system. The reports are: Provider Summary, Clinic Summary, Sittings by Provider, Individual Sittings, Non-Clinical Time Report, Dental Fee Basis Report. These reports are similar to DAS reports of the same name. Reports are available on the Tools menu for all users. B. Provider Add/Edit is part of this patch. This enhancement allows the dental administrator to add or edit the dental staff in the DENTAL PROVIDER (#220.5) file. A new eight character Dental Provider Id has been created and will be used in the DES Reports. The old four character Dental Provider Id is still required for DAS, but will be deprecated when DAS is replaced. Provider Add/Edit is available on the Tools menu for administrative users. C. A new Extract History data option is available on the Tools menu. This option does not use RPC calls to get history data, but uses instead, a TCP/IP process running on the local machine. When the user wants to run the new extract, a process will start in the user's system tray and will wait for data from Vista. When the data The patch installation process should take be less than 5 minutes. has been sent, the Vista M code will send a Shutdown message to stop the TCP/IP server. During the patch testing phase for Patch 38, the old Extract option will remain enabled along with the new Extract option. NOTE! Users will have to contact IRM to get a valid Port# to be used with the extract! The user must also know the IP address of their workstation in order for the Vista M code to correctly connect to the TCP/IP process running on their machine! These parameters will be stored on Vista and can be edited/viewed via the Parameters button on the new Extract History Data screen. The post-installation conversion process may take several hours D. Fee Basis and Dental Transaction records will start setting the "AXMIT" cross-reference correctly ("P" for pending, "C" for canceled) in preparation for transmitting HL7 records to AAC. NOIS ADDRESSED BY THIS PATCH ======================================================================== MIA-0304-30860 depending upon the number of records in file 228.1 and 228.2. INSTALLATION FILES ======================================================================== How to Obtain KIDS File File Name: DENT_1_2P38.zip FTP format: binary DENT_1_2P38.zip file will contain the following files: FTP File Name Description Format ------------------------ -------------------------------------- ------ Dent_1_2p38.kid Installable KIDS file ASCII This conversion process will be tasked off in the background. Dentalmrm.exe DRM Version 3.12 executable Binary DRMEXTSRV.exe DRM TCP/IP executable Binary Dent_1_2p38_ug.doc Dental Record Manager's user guide Binary Updated w/ Reports/Prov Edit/Extract Dent_1_2p38_rn_ig.doc DENT1.238 Release Notes and Binary Installation Guide P38_patch_description.txt A copy of the patch description ASCII Patch 38 Enhancements.doc Describing just the enhancements Binary The zip file listed above may be obtained via FTP. The preferred method ======================================================================== is to FTP the files from download.vista.domain.ext This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] REQUIRED BUILDS: DENT1.237 TEST SITES SYSTEM ALPHA/BETA ======================================================================== Fargo, ND (W2K Cache/Thin Client) ALPHA Manhattan, NY (VMS DSM) BETA SYSTEM ACCESS DURING INSTALLATION ROUTINE SUMMARY ======================================================================= Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV037 [* to be deleted] ======================================================================== DENTV038 n/a 4808142 38 DENTV03C n/a 21799174 38 DENTV03D n/a 21047556 38 DENTV03E n/a 21447147 38 DENTV03F n/a 19998119 38 DENTV03G n/a 1622718 38 DENTVA1 n/a 10886320 38 DENTVA2 n/a 12235826 38 DENTVAU n/a 2285628 38 DENTVDD1 4809284 5137431 31,38 Installation of this patch does not require users to be off of the DENTVFB 2775003 2787426 37,38 DENTVIP3 3716294 3714758 31,38 DENTVRF4 7883662 8576541 31,37,38 DENTVRH 6429972 6800370 31,37,38 DENTVRP5 n/a 3121694 38 DENTVRP8 n/a 3913187 38 DENTVRP9 6021923 6021572 30,32,34,31,38 DENTVTP2 n/a 3443632 38 DENTVUT1 3413708 3440255 31,38 system. However, all Dental users should not use the DRM GUI option INSTALLATION INSTRUCTIONS FOR DENT1.238 ======================================================================= This patch must be installed when there are no dental DRM processes running. All open DRM GUI applications must be closed. The installation time should take less than 5 minutes. 1. Obtain the Dent_1_2p38.kid file 2. For DSM sites review your mapped set. Disable any of the above while the patch is being installed. All Dental users MUST close any routines if necessary 3. From the Kernel Installation and Distribution System Menu, select the Installation menu 4. Use Load a Distribution and enter Dent_1_2p38.kid when prompted for a Host file. You may need to attach a directory name 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.238) open DRM GUI application prior to the patch being installed. Once the a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.238 7. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO patch has completed the users can use the DRM application. Until Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary 9. This step must be completed for this patch to work properly a. ...\ will indicate your UNC/path for where the current DRM v3.11 dentalmrm.exe is located b. Move dentalmrm.exe to ...\DOCSTORE the conversions are complete, the new DRM reports may not give accurate c. Move DRMEXTSRV.exe to ...\DOCSTORE (Do not add CPRS menu for this new executable! It is called within the DRM application.) This patch contains fixes and enhancements to the Dental Record Manager results since they need the new DAS FIELD and DAS DATA data in file 228.2, and they search for data based on the DIVISION field which is also being changed. ******************************************************************* * There is a new DRM executable exported with this patch. This * * executable MUST be deployed PRIOR to Dental users accessing the * * DRM application after the patch has been installed. * ****************************************************************** (DRM) application. This patch also contains new M Globals for DRM in PRE-INSTALLATION PROCESS ======================================================================== The pre-install process will delete field .18(DIVISION) from file 228.1. This field will be reinstalled as part of the patch. The pre-install process will delete the TIU Note pointer from file 228.1. This field is no longer used. The pre-install process will also delete field .16(SURFACE) and 1.18 the DENT namespace - ^DENT(220.51 and ^DENT(220.52 to support the new (TEMP TRANS ID) from file 228.2. These fields will be reinstalled as SURFACES/ROOTS and HL7 STATUS, respectively. POST-INSTALLATION PROCESS ======================================================================== The post-install routine will queue up a Taskman job to convert files 228.1, (division pointer and removing any TIU Note pointer data) and 228.2, (setting DES reporting fields). It will also create a new index on file 228.1 for DES reporting ("AG") and re-index the "AF" cross-ref eight character Dental Provider Id. on file 228.1. ********************************************************************* * * * THE FOLLOWING STEP BE COMPLETED FOR THIS PATCH TO WORK PROPERLY * * * *********************************************************************** At this point, the KIDS install will have completed. IRM needs to place the DRM GUI executable in the appropriate directory. The placement of this DRM executable can be done at the same time the KIDS build is being installed. The executable must be placed as follows where ...\ indicates your UNC/path for where the current DRM v3.11 dentalmrm.exe is located: Move dentalmrm.exe to ...\DOCSTORE Also... the new extract executable needs to be placed in the same directory where dentalmrm.exe resides. Move DRMEXTSRV.ext to ...\DOCSTORE Three database conversions will be run as part of the post installation. FIXES TO THE DRM APPLICATION ======================================================================== A. The list of Visits that display when the user wants to Delete a Dental Encounter will now display in reverse chronological order with no duplicates. B. The information on the Dental History tab will display in reverse chronological order by date/time, not just date. C. If there are no Vital signs to be imported, an extra linefeed was The first conversion seeds the new fields in 228.2 for the DES Reports appearing in the note - the extra linefeed has been removed. D. Change the .18 field (DIVISION) in the DENTAL HISTORY file (#228.1) From a pointer to file 40.8 (MEDICAL CENTER DIVISION) to a pointer to file 4 (INSTITUTION). F. Add fields DAS FIELD, DAS DATA to the TREATMENT PLAN TRANSACTION/EXAM file (#228.2). These fields will be seeded with data during the post install conversion. These fields, along with the CTV, VA-DSS GROUP fields will be set appropriately when transactions are filed. 21 SEQ #20 DATE APPLIED: 1996-10-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This is Dental Patch 21. 40 DATE APPLIED: 2004-10-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information SYSTEM ACCESS DURING INSTALLATION The zip file listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] ========================================================================= Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] REQUIRED BUILDS: DENT1.238 DSIC 1.3 TEST SITES SYSTEM ALPHA/BETA ====================================================================== Installation of this patch does not require users to be off of the system. Black Hills, SD (W2K Cache/Thin Client) ALPHA Westhaven, CT VMS/Cache BETA ROUTINE SUMMARY ====================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ However, if your site is not a DRM Plus (patch 39) site, then the DENTV040 n/a 3046754 40 DENTVHL n/a 13088143 40 DENTVHL1 n/a 8156724 40 DENTVHL2 n/a 5154609 40 DENTVHL3 n/a 4139460 40 DENTVHLB n/a 16225605 40 DENTVHLF n/a 7363704 40 DENTVHLU n/a 3937615 40 DENTVRF1 5236302 5245545 31,37,40 DENTVRF2 4641313 4658656 31,37,40 following instructions apply: Dental users should not use the DRM GUI DENTVRF4 8576541 8692191 31,37,38,40 DENTVUT1 [* to be deleted] ========================================================================= INSTALLATION INSTRUCTIONS FOR DENT1.240 ========================================================================= 1. Obtain the Dent_1_2p40.kid file application while the patch is being installed: all Dental users MUST 2. For DSM sites review your mapped set. Disable any of the above routines if necessary 3. From the Kernel Installation and Distribution System Menu, select the Installation menu 4. Use Load a Distribution and enter Dent_1_2p40.kid when prompted for a Host file. You may need to attach a directory name 5. You may elect to use the following options (when prompted for close any open DRM GUI application prior to the patch being installed: INSTALL NAME, enter DENT1.240) a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.240 7. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. This example shows answering NO: Install Questions for DENT1.240 Once the patch has completed the users can use Incoming Mail Groups: Enter the Coordinator for Mail Group 'DENTV HL7 MESSAGES':[Name here] Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary the DRM application. ========================================================================= POST-INSTALLATION PROCESS ========================================================================= The post-install routine will stuff the facility ID of the installing site into the HL7 APPPLICATION PARAMTER file for the two parameters being sent with the package. It will also set the DAS turnoff date in the new parameter DENTV DRM DAS TURNOFF to 10/31.2004. The post-install will also re-index some entries for the "AXMIT" cross-reference in file 228.2 (used by the HL7 interface) due to potential issues with the Create Date being set as a string. *********************************************************************** * * * THE FOLLOWING STEPS MUST BE COMPLETED FOR THIS PATCH TO WORK PROPERLY* * * ************************************************************************ Step 1 is only applicable for sites which have not installed DENT1.239. ======================================================================== ******************************************************************** All sites must perform steps 2-x. ------------------------------------------------------------------------- 1 Move dentalmrm.exe ------------------------------------------------------------------------- This step is only applicable for sites which have not installed DENT1.239. '...\' indicates your UNC/path for where the current DRM v3.12 dentalmrm.exe is located. Move dentalmrm.exe to ..\DOCSTORE * There is a new DRM executable exported with this patch. This * ------------------------------------------------------------------------- 2 Set up HL7 link for transmitting DES data to the AAC ------------------------------------------------------------------------- This will demonstrate one way of editing the HL7 link. Note: VIE stands for Vitria Interface Engine VAH>D ^XUP Select OPTION NAME: HL MAIN MENU HL7 Main Menu ------------ * executable is only for DRM sites (not DRM Plus sites!) and MUST * Select HL7 Main Menu Option: FILER and Link Management Options ----- Select Filer and Link Management Options Option: Link Edit ---- Select HL LOGICAL LINK NODE: DENTVHLAAC ---------- You will now be in a Screenman display. These instructions will direct you to the field that needs editing without actually displaying that Screenman display. You will see the field: * be deployed PRIOR to Dental users accessing the DRM application * LLP TYPE: TCP Move to the LLP TYPE field. With TCP highlighted, press <ENTER> You should now be in another Screenman display entitled: TCP LOWER LEVEL PARAMETERS You will see these three fields on this display: TCP/IP SERVICE TYPE: CLIENT (SENDER) TCP/IP ADDRESS: [ip address] TCP/IP PORT: [port] * after the patch has been installed. * A. The TCP/IP SERVICE TYPE should be 'CLIENT {SENDER}' B. Change the TCP/IP ADDRESS to your VIE IP address 1) If you don't know the VIE IP address, please go to http://vista.domain.ext/messaging/vie/vie_projectdocs.asp 2) Open the document named VIE Cluster IPs. 3) Find your site and use the IP address listed there. C. The TCP/IP PORT should be 8090 This port number is assigned by the VIE team for Dental ******************************************************************** Move the cursor to the line: COMMAND: Enter CLOSE to close the TCP LOWER LEVEL PARAMETERS screen At the COMMAND: prompt on the HL7 LOGICAL LINK screen Enter EXIT to save your changes NOTE: the other logical link, DENTVHLHDR, sent in this patch will be used in the future to send messages to the Health Data Repository. Do not set this up yet. ------------------------------------------------------------------------- 3 Turn on the HL7 link DENTVHLAAC ------------------------------------------------------------------------- This step will turn the link on to enable the messages to be sent. Within the same Filer and Link Management Options menu in the previous step: FIXES TO THE DRM APPLICATION Select Filer and Link Management Options Option: Start/Stop Links ----- Select HL LOGICAL LINK NODE: DENTVHLAAC ---------- The link will be enabled. To stop the link, follow the same steps and you will be prompted if it is Okay to shut down the job. Answer Yes if you want to stop the link. -------------------------------------------------------------------------- 4 Set up Weekly Scheduled Task ======================================================================== -------------------------------------------------------------------------- You need to schedule the Dental HL7 Batch option to run once a week. The VIE team is responsible for scheduling communication jobs that use the VIE. As such, they have assigned SUNDAY as the day that all VAMCs should schedule this job to run. The time that the job runs on Sunday is left up to the individual sites. On Monday evening, the VIE team will batch all the dental HL7 messages received from all VAMCs into a single file which will be sent to the AAC for processing. VAH>D ^XUP A. When transactions are filed only to the History file and not to DAS, Select OPTION NAME: XUTM MGR Taskman Management -------- Select Taskman Management Option: SCHedule/Unschedule Options --- Select OPTION to schedule or reschedule: DENTVHLB BATCH Dental HL7 Batch -------------- These two fields need to be properly set: QUEUED TO RUN AT WHAT TIME: select a Sunday date/time This patch contains the enhancement to send the Dental Encounter and the system will now file the DAS Disposition in the Dental History RESCHEDULING FREQUENCY: U@2200 Here is an example of setting up the weekly scheduled option: Edit Option Schedule Option Name: DENTVHLB BATCH Menu Text: Dental HL7 Batch TASK ID: ________________________________________________________________________ QUEUED TO RUN AT WHAT TIME: NOV 7,2004@22:00 (#228.1) file correctly. This field contains the 'in progress', DEVICE FOR QUEUED JOB OUTPUT: QUEUED TO RUN ON VOLUME SET: RESCHEDULING FREQUENCY: U@2200 TASK PARAMETERS: SPECIAL QUEUEING: 'completed' or 'terminated' flag. The system will also correctly __________________________________________________________________________ Exit Save Next Page Refresh Enter a command or '^' followed by a caption to jump to a specific field. COMMAND: EXIT Press <PF1>H for help Insert file the Create Date in this case. -------------------------------------------------------------------------- 5 Set up a Historical One-Time Scheduled Task -------------------------------------------------------------------------- The Dental Encounter System (DES) has been gathering data since Oct 2000 in file 228. Dental VAHQ would like all that data downloaded to the new DES database at the AAC. The amount of data at some sites might be extensive. The VIE team and Capacity Management prefer that an option be made available to the sites to move that data to a CD instead of using bandwidth on the VA WAN for moving those HL7 historical messages to the AAC. Thus we have provided an option for the B. Billing awareness changes were made for the procedure/diagnosis site to schedule at a time that is convenient for the site. To estimate the size of the file that will be generated, perform a Fileman Inquire on file 228.2. The number of records will give you a ballpark estimate as to the size of the Historical file - each transaction will take just under 1K when formatted as an HL7 message. So, a record count of 55,024 will produce a file of < 55,000K or just under 55meg. Not all records will be sent via the Historical batch of course, since all records created since the installation of DENT1.238 will be sent via the Vista Interface Engine and the weekly process. data being sent to PCE. NOTE: The historical CD is expected at the AAC within one month of the release of patch 40. Here are the instructions for setting up a one-time Scheduled Task for the DENTVHL PROCESS HISTORIC option [menu text: Process one-time historical extract (Dental)]. Please note that this option will generate a HFS file with a name like DENTV_HISTORICAL_<site#>.TXT. The file will be located in the directory as defined in your Kernel Site Parameters. You can easily see what this value is from the programmer's prompt as shown in this example: VAH>W $$PWD^%ZISH c:\hfs\_TO CD\ Once the historical option has completed, you will need to copy that file to a CD. You will then mail that CD to the AAC. If you choose to FTP the file from your VMS system to another network server, then please remember to FTP the file in ASCII (or text) mode. Here is the mailing address for that CD: ENHANCEMENTS TO THE DRM APPLICATION George Dankworth Records Management (396B) Dental Encounter System 1615 Woodward Street Austin, TX 78772 Example of setting up the one-time queue option: VAH>D ^XUP ======================================================================== Select OPTION NAME: XUTM MGR Taskman Management -------- Select Taskman Management Option: SCHedule/Unschedule Options --- Select OPTION to schedule or reschedule: DENTVHL PROCESS HISTORIC ------------------------ Here is a screen capture of the Taskman Screenman screen showing the scheduling of this job: Edit Option Schedule Option Name: DENTVHLB BATCH Menu Text: Dental HL7 Batch TASK ID: ________________________________________________________________________ QUEUED TO RUN AT WHAT TIME: AUG 31,2004@22:00 DEVICE FOR QUEUED JOB OUTPUT: QUEUED TO RUN ON VOLUME SET: Dental Fee Basis data to the Austin Automation Center (AAC) via an HL7 A. Dental Encounter (DES) and Dental Fee Basis data will be transmitted RESCHEDULING FREQUENCY: TASK PARAMETERS: SPECIAL QUEUEING: __________________________________________________________________________ Exit Save Next Page Refresh to the Austin Automation Center (AAC) via HL7 compliant messages. HL7 Enter a command or '^' followed by a caption to jump to a specific field. COMMAND: EXIT Press <PF1>H for help Insert -------------------------------------------------------------------------- 6 Add Members to Mail Group -------------------------------------------------------------------------- messages will be combined into batches that are compiled weekly and An new mail group has been added called DENTV HL7 MESSAGES. Please add members to this mail group. These should be individuals who will be responsible for taking action if the acknowledgement messages that come back from the AAC which contain error codes. These problems need to be addressed in the VistA DES database. Those transactions, once fixed, will need to be flagged for retransmission. A good candidate for a member would be the dental administrator for DRM in the Dental Service. This is an example of adding a member to this mail group. There are sent to the AAC using the Vista interface engine. Batches are several Kernel options that allow the adding of members to a mail group including using Fileman. This example just shows one of those options' display: Select MAIL GROUP NAME: DENTV HL7 MESSAGES ------------------ Select MEMBER: [add the name of the person to become a member] TYPE: ========================================================================== limited to 1000 HL7 msgs. There are at least two batches being sent SAMPLE INSTALLATION EXAMPLE ========================================================================== Select Installation Option: INstall Package(s) Select INSTALL NAME: DENT1.240 Loaded from Distribution 8/31/04@10:09:43 => DENT1.240 ;Created on Aug 25, 2004@14:15:23 This Distribution was loaded on Aug 31, 2004@10:09:43 with header of DENT1.240 ;Created on Aug 25, 2004@14:15:23 It consisted of the following Install(s): from the local sites, one containing Dental Encounter data and one DENT1.240 Checking Install for Package DENT1.240 Install Questions for DENT1.240 Incoming Files: 228.2 TREATMENT PLAN TRANSACTION/EXAM (Partial Definition) Note: You already have the 'TREATMENT PLAN TRANSACTION/EXAM' File. for Dental Fee Basis data. The data transfer will be initialized 228.25 DES/HL7 TRANSMISSION Note: You already have the 'DES/HL7 TRANSMISSION' File. 228.5 DENTAL FEE BASIS EXTRACT (Partial Definition) Note: You already have the 'DENTAL FEE BASIS EXTRACT' File. Incoming Mail Groups: Enter the Coordinator for Mail Group 'DENTV HL7 MESSAGES': [enter name] through a weekly queued option. The site no longer has to manually Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO DEVICE: HOME// ;P-DEC;80;999 TELNET PORT Install Started for DENT1.240 : Aug 31, 2004@10:10:17 Build Distribution Date: Aug 25, 2004 Installing Routines:........... Aug 31, 2004@10:10:17 Installing Data Dictionaries: .... Aug 31, 2004@10:10:18 start the transmission to the AAC as they did for the Dental Activity Installing PACKAGE COMPONENTS: Installing MAIL GROUP.. Installing HL LOGICAL LINK... Installing HL7 APPLICATION PARAMETER...... Installing PROTOCOL.... Located in the DENT (DENTAL) namespace.. Located in the DENT (DENTAL) namespace.. Installing OPTION... Installing PARAMETER DEFINITION.. Aug 31, 2004@10:10:19 Running Post-Install Routine: POST^DENTV040. System (DAS) data. DAS transmissions will be disabled in another >>>>> Updating the DENTV-C, DENTV-F HL7 params with your Facility Name <<<<< >>>>> Updating the DENTV DRM DAS TURNOFF param with date 10/31/2004 <<<<< Update of file 228.2 CREATE DATE field successfully queued, task# 361543 Updating Routine file Updating KIDS files....... DENT1.240 Installed. Aug 31, 2004@10:10:20 interface. It also contains enhancements to the Dental Record Manager DRM patch. B. Historical Dental Encounter data (transactions filed before DRM patch 38 was installed) will be sent to the AAC via a CD. An option is available to create these HL7 messages and put them into a file on a server. The file needs to be copied onto a CD and mailed to the AAC. C. A new parameter DENTV DRM DAS TURNOFF contains a date which controls the filing of data to DAS (file 221). When the date is reached, DRM (DRM) application. will no longer offer the File DAS Only option and will not file any data to file 221 even when filing to All (DES, PCE are now the only filing choices). Also, the old 4 digit Provider ID will no longer be required when adding/editing dental providers. The turnoff date is defaulted to 10/31/2004. D. When the user looks up providers (in the Extract, Provider Add/Edit options, the provider list will now contain their initials and title to help differentiate users with the same name. E. Combat Veteran status has been added to the Service Connected selection page. F. The text of the filing options was changed from "File DAS/PCE..." to "File Data...". NOIS ADDRESSED BY THIS PATCH ======================================================================== BRX-0804-10469 NOL-0804-70250 CLL-0804-40357 MON-0804-51726 The patch installation process should take be less than 5 minutes. INSTALLATION FILES ======================================================================== How to Obtain KIDS File File Name: DENT_1_2P40.zip FTP format: binary DENT_1_2P40.zip file will contain the following files: FTP File Name Description Format ----------------------- ------------------------------------- ------ Dent_1_2p40.kid Installable KIDS file ASCII Dentalmrm.exe DRM Version 3.13 executable Binary Dent_1_2p40_ug.doc Dental Record Manager's user guide Binary The guide was updated for HL7/DAS turnoff and Combat Veteran status flag Dent_1_2p40_rn_ig.pdf DENT1.240 Release Notes and Binary Installation Guide P40_patch_description.doc A copy of the patch description Binary 39 DATE APPLIED: 2004-10-29 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information RVU and DSS Product line data will be set into existing transactions The pre-install process will delete field 4.06 in file 228.2 because the DESCRIPTION field was changed to a word processing field 4.1. If field .04 (PLAN NUMBER) in file 228.6 exits, it will be deleted as it is no longer used. POST-INSTALLATION PROCESS ======================================================================== from file 228 DENTAL CPT CODE MAPPING. New System parameters required Please read the post-installation instructions which follow the installation instructions. All the steps in the post-install must be completed for DRM Plus to function properly. NOIS ADDRESSED BY THIS PATCH ======================================================================== BRX-0804-10469 NOL-0804-70250 CLL-0804-40357 MON-0804-51726 BRX-0804-11357 for DRM Plus will be seeded with default data. INSTALLATION FILES ======================================================================== How to Obtain KIDS File File Name: DENT_1_2P39.zip FTP format: binary DENT_1_2P39.zip file will contain the following files: FTP File Name Description Format ----------------------- ------------------------------------- ------ Dent_1_2p39.kid Installable KIDS file ASCII Dentalmrmtx.exe DRM Version 4.01 executable Binary SETUP.EXE Initial CVision install file Binary VBRUN60SP6.EXE Microsoft VB 6.0 SP6 runtime files Binary MDAC_TYP.EXE Microsoft Data Access Components v2.8 Binary UPDATE.EXE Subsequent CVision updates as necessary Binary Dent_1_2p39_ug.doc Dental Record Manager's user guide Binary The guide was updated for DRM Plus Dent_1_2p39_rn_ig.pdf DENT1.239 Release Notes and Binary Installation Guide NOTE Dental administrators are responsible for entering RVU and P39_patch_description.doc A copy of the patch description Binary The zip file listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY VA-DSS Product Line information into the system for ALL locally mapped ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] REQUIRED BUILDS: DENT1.238 DSIC 1.3 10.TEST SITES SYSTEM ALPHA/BETA medical (CPT) codes! This information will be required for processing ==================================================================== San Diego, CA (VMS Cache) ALPHA Black Hills, SD (W2K Cache/Thin Client) ALPHA Manhattan, NY (VMS Cache) BETA Daytona (Gainesville) (VMS, DSM) BETA Manchester (VMS Cache) BETA Bath, NY (VMS DSM) BETA Fargo, ND (W2K Cache/Thin Client) BETA Boston, MA (VMS Cache) BETA Miami, FL (VMS, DSM) BETA transactions that are sent to Austin after patch 40 is installed. See Houston, TX (VMS DSM) BETA ROUTINE SUMMARY ====================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV038 [* to be deleted] the post-installation instructions for details on entering this DENTV03C [ to be deleted] DENTV03D [ to be deleted] DENTV03E [ to be deleted] DENTV03F [ to be deleted] DENTV03G [ to be deleted] DENTV039 n/a 10652042 39 DENTV39A n/a 1146103 39 DENTVA1 10886320 12453282 38,39 DENTVA2 12235826 14211342 38,39 DENTVAU 2285628 2840803 38,39 information. DENTVDD1 5137431 5150464 31,38,39 DENTVIP1 8645242 7061918 33,34,35,36,39 DENTVIP2 14330152 14335172 36,39 DENTVIP3 3714758 5003597 31,39 DENTVRH 6800370 7889749 31,37,38,39 DENTVRHD 1034441 1569611 31,39 DENTVRP1 5080599 5103649 30,34,36,31,37,39 DENTVRP3 6062351 6412654 30,32,35,31,39 DENTVRP8 3913187 4052725 38,39 DENTVRP9 6021572 6935679 30,32,34,31,38,39 ======================================================================== DENTVTP0 n/a 830603 39 DENTVTP1 n/a 5103282 39 DENTVTP2 3443632 2998057 38,39 DENTVTP3 n/a 5419608 39 DENTVTP4 n/a 10224521 39 DENTVTP5 n/a 4674885 39 DENTVTP6 n/a 5267534 39 DENTVTP7 n/a 3312894 39 DENTVTPA n/a 4823862 39 DENTVTPB n/a 8540067 39 The patch installation process should take be less than 5 minutes. DENTVTPC n/a 10530540 39 DENTVTPD n/a 6502580 39 INSTALLATION INSTRUCTIONS FOR DENT1.239 ======================================================================= This patch must be installed when there are no dental DRM processes running. All open DRM GUI applications must be closed. The installation time should take less than 5 minutes. The post-installation conversion process may take several hours 1. Obtain the Dent_1_2p39.kid file 2. For DSM sites review your mapped set. Disable any of the above routines if necessary 3. From the Kernel Installation and Distribution System Menu, select the Installation menu 4. Use Load a Distribution and enter Dent_1_2p39.kid when prompted for a Host file. You may need to attach a directory name depending upon the number of records in file 228.2. This conversion 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.239) a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.239 7. For the install prompts, enter either Yes or No depending upon the process will be tasked off in the background. normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary 9. The post-install routine queues up a Taskman job to add RVU and Product Line information into existing transactions in file 228.2. The post install will also add, edit or delete certain parameter instances for DRM Plus and will add the locally added CPT codes back into file 228. POST INSTALLATION INSTRUCTIONS ======================================================================== ********************************************************************** * THESE STEPS SHOULD NOT BE COMPLETED UNTIL YOUR SITE IS SCHEDULED * * FOR DRM PLUS TRAINING! * *********************************************************************** 1. At this point, the KIDS install will have completed. IRM must place the DRM GUI executable in the appropriate directory. The placement of this DRM executable can be done at the same time the KIDS build is being installed. The executable must be placed as follows where ...\ indicates your UNC/path for where the current DRM v3.12 dentalmrm.exe is located: Move dentalmrmtx.exe to ...\DOCSTORE 2. Create a CPRS Tools menu option for this new executable ENHANCEMENTS TO THE DRM APPLICATION Add the DRM Plus option to the CPRS Tools Menu with these params: ...\DOCSTORE\DENTALMRMTX.EXE S=%SRV P=%PORT D=%DFN TX=1 Note that the executable name is different than the current DRM executable and the parameters contain a new string TX=1 which stands for Treatment Plan - the new GUI display. If you do not include this new parameter, the Dental program will look like the existing DRM application and none of the new features will be available to the dental user. 3. Client PC setup ======================================================================== There are DRM Plus support files that MUST be installed on each Windows client PC that will be running the DRM GUI application. You must have local Administrative privileges on the client PC to properly install these files. See the installation steps below for details. a. Update the client machines (need Administrator privileges) by running the SETUP.EXE, VBRUN60SP6.EXE, and MDAC_TYP.EXE programs in that order. A. DRM Plus - an entirely new visually enhanced GUI is part of this b. Reboot the machine and log in again as the administrator to complete the installation process! c. Once you have installed the three programs in step 4.a. and you need to reinstall this patch (or if test sites are upgrading to a newer version of the patch), then you only have to run the UPDATE.EXE file to upgrade the DRM Plus client files. UPDATE.EXE does not require administrator privileges. Keep these three client installation files for future use e.g. when new pcs are added to the dental clinic, etc. This patch contains fixes and enhancements to the Dental Record Manager patch. DRM Plus contains screens to edit Perio, PSR and Head/Neck 4. Adding or Editing Local CPT Codes a. This step needs to be done by the dental administrator. This is not an IRM function at most sites. This step can be completed any time after the patch has been installed. This step should be completed before the dental users are given access to the DRM Plus application. If not, then it is possible that those users will select these locally added CPT codes. Since no RVUs nor VA-DSS Product Line values are mapped, then no dental workload will be transmitted to the new Dental Encounter System database in Austin lesion data as well as the enhanced visual screens for general once patch DENT1.240 is released. b. The dental administrator needs to update RVU and VA-DSS Product Line values for any CPT codes which the site might have added to the ADA Mapping Table (#228). If the site has not added any CPT codes to this table, then this step can be skipped. The dental administrator will edit this information using the DRM Plus GUI program. 1) In DRM Plus, select the 'Treatment & Exam' menu 2) Within this menu, select the option 'Edit CPT/DCode Field Values' dentistry. 3) Search for the locally added CPT codes and enter the appropriate values. Click OK to file the information. B. RVU data will be stored with the ADA codes and will be shipped with with the DENTAL CPT MAPPING table (#228). For locally added codes, users will be able to edit RVU and VA-DSS Product Line information. C. DES Reports that were created in DRM Patch 38 have been enhanced to allow screening of transaction status (complete, pending, deleted) (DRM) application. This patch also contains new files for DRM in the and patient type (active, inactive). The Summary Reports provider/clinic) now allow the user the option to print only the third page totals. D. The New Extract option that was created in DRM Patch 38 has been enhanced to allow screening of transaction status (complete, pending, findings and observe). Both Extract options have been changed to output RVU and transaction status data to the text file. E. Selection of patient visits now offers a new radio button to view DENT namespace - ^DENT(228.6) which contains tooth notes and only Dental Visits (and Scheduled appointments for Dental). Dental Visits are those where the location has a stop code of 180 or 181. The Dental Visits radio button is now the default selection, instead of the All button. F. Combat Veteran status has been added to the Service Connected selection page. G. The DRM Plus application will no longer ask the user if they want to close the application after they have hit the close button. ^DENT(228.7) which contains reserved transactions. The ^DENT global H. Users will no longer be prompted for # of Canals. If the ADA code in the ADA Mapping table (#228) is marked for Canals, then DRM Plus will use that value for the transaction. I. Users have the option of saving dental information in a temporary workspace at any time in the DRM Plus workflow. The user may close DRM Plus or change patients and the system will prompt to save the currently entered information without having to click the Finish button. When the user re-opens DRM Plus for the patient with saved should already exist on your system so no global placement is required. data, the system will prompt to re-load the information and the user can continue through the screens. J. The user will only see active providers when selecting co-signers. SYSTEM ACCESS DURING INSTALLATION ======================================================================== Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM GUI option while the patch is being installed. All Dental users MUST close any open DRM GUI application prior to the patch being installed. Once the patch has completed the users can use the DRM application. ******************************************************************** * There is a new DRM executable exported with this patch, called * * dentalmrmtx.exe. This executable will NOT be used until the * * site has scheduled training for DRM Plus. The site should * * continue to use the old executable (dentalmrm.exe) against the * * the DENT12.39 KIDS build until that time. * * * A database conversion will be run as part of the post installation. * There are also new Client-side components that must be * * installed for the new executable to work properly!! * * Please read the post-installation instructions thoroughly! * * * ******************************************************************** PRE-INSTALLATION PROCESS ======================================================================== The pre-install process will save off the current ADA table (file 228) in preparation for re-loading new ADA data. 42 SEQ #41 ;Created on Jan 31, 2005@10:28:16 DATE APPLIED: 2005-03-11 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information ======================================================================= The following fixes apply to DRM and DRM Plus: 1. One of the routines in DENT1.240 was not compatible with DSM and caused an error trying to run. This routine was modified to be able to be run on either Cache or DSM and is included in this patch so that all sites are running the same version of the routine. 2. The Fee Basis report will display data for facilities with alpha characters in their id (e.g. 674A4). NOIS: CTX-1004-72255 ENHANCEMENTS TO THE DRM/DRM Plus APPLICATION 3. The Summary Reports (Provider and Clinic) will now print the correct Totals number. NOIS: LEX-1104-41679 4. Fixed a bug when loading the boilerplate of a TIU title in the progress note screen of the Clinical Record tab if a Consult-type was selected. The IEN of the previous note title was passed to the broker call instead of the currently selected title which could result in the wrong boilerplate. -----DRM ONLY----- ======================================================================= 5. Leaving the 4 digit Provider Id blank for more than one provider will no longer give the user a 'duplicate id' error message. (Note: the 4 digit Provider Id is still required to file Admin time in DRM, if you are using that feature.) NOIS:PUG-1104-50509 -----DRM Plus ONLY----- 6. D6999 will no longer change the graphical display in DRM Plus and D4211 will prompt for tooth and not quadrant. D2940 will now paint the correct graphic for restoration. D2999 and D3999 will not paint graphics. The following enhancements apply to DRM and DRM Plus: 7. The system will now automatically display signed notes for user selection in the Addendum screen. 8. Changed display of FGM values in the progress note output of Perio Exams ("+" for positive values, actual value for numbers between 1 - 9, and "" for values greater than 9). 9. The HL7 message generator will no longer generate invalid transaction messages for DRM Plus connecting bar type transactions. A. The following VistA DAS options will be disabled: 10. Changed the legend/symbol definition for FGM at the bottom of the Perio Exam progress note output ("FGM coronal to CEJ"). 11. Allow DRM Plus to minimize if filing Problem List results in a "duplicate filing" error message. 12. Duplicate Problems will no longer be filed. 13. Changed the message (disclaimer) on top of the Perio Exam progress note text to "This is textual display of periodontal findings, please see DRM Plus for perio charting graphic." 14. Automatically display the Visit selection form without having to click the "..." button on the second page of the Treatment Chart tab after the Next button is clicked. 15. When PCE filing errors occur, the system will not try to back out DAS transactions since they are no longer filed. Menu/Option Name Description 16. Correctly assign the provider initials in the transaction list when the user enters a bridge, connecting bar or partial. NOIS:MIA-1104-31314, PUG-1204-51038 17. Fixed an intermittent issue with completed procedures not generating a code description in the progress note. 18. Corrected the translation of "Miscellaneous" material in Diagnostic Findings transactions to display the text "Misc" in the progress note. Because Miscellaneous is internally ------------------------------ ---------------------------------------- mapped as Unknown, no material is displayed with the tooth in the progress note for transactions such as existing Restorations. 19. The Multi Add button will now be enabled/disabled for the appropriate DCodes. 20. Fixed a bug where 'Observe' type transactions were trying to be sent through the HL7 interface and generating an error. Only Completed, non-observe transactions should be transmitted. NOIS: MIN-1204-40802 DENT GECS BATCH Batch Code Sheets 21. Changed the order of the lower PSR values based on a request by the dental development group. 22. Changed the link to the VA Intranet Website under Help menu to http://vaww1.domain.ext/drmplus1/. (Note: this link is outside the VA network firewall). 23. The progress note text width component code was updated. The progress note screens: regular note, addendum, and Clinical DENT GECS BATCH EDIT Batch Edit Record tab note, will wordwrap the text properly at the designated width (usually 74 characters wide). 24. Copyright information updated to show "1998 - 2005" in the Help/About menu option. 25. Fixed the "List index out of bounds" error message when clicking the Back button and changes in the text were detected with/without the text marker. ======================================================================= DENT GECS BATCHES STATUS Status of all Batches 26. Disabled the "No" button on the save data prompt when selecting the "Save unfiled data" menu option. Disabled the "Cancel" button on the save data prompt when switching patient. 27. Replaced the "Additional Notes" section label with a dashed line (60 characters wide) in the progress note. Changed the "Additional Notes" treeview item to "Insert Text Marker" so the user can manually insert the marker in the progress note. 28. The Text Marker section marker is automatically inserted DENT GECS BATCHES WAITING TRAN Batches Waiting to be Transmitted when a CPRS template or TIU boilerplate is imported when the note title selection is presented for the first time. 29. A warning message will be presented to the user if changes were made to the progress note text and the Text Marker is not found. or, if changes occur above the original placement of the Text Marker. 30. Added a new checkbox "Default treeview display to DRM objects" in the User Options under the Treatment System tab. This allows the DENT GECS CODE EDIT Code Sheet Edit user to select which treeview display the user prefers in the progress note. (DRM Objects is the default.) 31. The following changes were made to the DRM Plus client component: a. The message "There are no appointments" which could show up in some situations has been removed. b. Clicking on "Perio Buttons" and then clicking on a tooth will no longer show the ADA Codes list. c. The periodontal statistics will now accurately reflect the total number of sites and teeth for furcation and MGJ. Teeth without DENT GECS CREATE Create a Code Sheet periodontal readings such as missing or denture will also be accounted for correctly. d. Fix drawing error when adding a partial on a tooth with an implant and a coping. e. When adding a connecting bar over missing teeth, the missing teeth will no longer display a hollow crown image. f. Bridge and partial transactions will now be added with the correct provider. g. Problem where patient notes were being duplicated when changing dates and clicking "Show All" has been resolved. DENT GECS DELETE Delete a Code Sheet h. When adding a pontic to an implant which has a coping on it; implant will be removed appropriately. i. Clicking Add in Multi-Add without selecting a tooth or quadrant will not generate a run-time error. j. The default code for an extracted implant is now D6100. k. Probing will now be allowed on all retained roots. l. Extracted roots will now display in the transaction list as "Extract" when completed or planned. m. The ability to "Cancel" the Extract bridge dialog has been added. n. Notes cannot be added without first adding a transaction. DENT GECS KEYPUNCH Keypunch a Code Sheet o. Apostrophes will be stripped from the SpeedCode name in order to prevent a run-time error. p. The dentition message which tells the user to use the individual dentition button has been modified to be more accurate. q. The H&N date filter now works appropriately. r. Sealant markers will now draw on top of cracked occlusal surfaces appropriately. s. Defective materials will never display in treatment plan or completed care. t. The default code for a coping on an implant has been changed DENT GECS PURGE Purge Transmission Records/Code Sheets from D6020 to D6056. SYSTEM ACCESS DURING INSTALLATION ======================================================================= Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM or DRM Plus GUI option while the patch is being installed. All Dental users MUST close any open DRM or DRM Plus GUI application prior to the patch being installed. Once the patch has completed, DRM users can use the DENT GECS READY FOR BATCHING L Code Sheets Ready for Batching application. DRM Plus users must have a client update performed on their machine. POST-INSTALLATION PROCESS ======================================================================== The KIDS post-install routine will do the following: 1. Disable the DAS options listed in the Enhancements section of this document. The options will be turned off by setting the Out Of Order Message to 'DAS turned off'. 2. Change the Condition/Area/Material for some DCodes so that the DRM DENT GECS REBATCH Mark Code Sheets for Rebatching Plus graphics will paint correctly. 3. Set a new multi-add flag to DCodes to better enable/disable this DRM Plus feature for the appropriate DCodes. 4. Remove the HL7 'pending' x-ref for all Observe DRM Plus transactions. 5. Set the new DRM Plus Treeview parameter (DENTV TP TREEVIEW DEFAULT) to Yes. ********************************************************************** * * * THE FOLLOWING STEP BE COMPLETED FOR THIS PATCH TO WORK PROPERLY * DENT GECS RETRANSMIT Mark Batch for Retransmission * * *********************************************************************** After the KIDS install has completed, IRM needs to place the DRM executable (dentalmrm.exe) or the DRM Plus executable (dentalmrtx.exe) in the appropriate directory. If you are a DRM Plus site, then you also must complete some additional client setup on client pcs or thin client servers. See the installation steps below for details. NOIS ADDRESSED BY THIS PATCH This patch sets the Out Of Order message on various Dental Activity DENT GECS REVIEW CODE SHEET Review a Code Sheet ======================================================================= CTX-1004-72255 PUG-1104-50509 MIA-1104-31314 DUR-1004-31962 LEX-1104-41679 MIN-1204-40802 PUG-1204-51038 REQUIRED BUILDS: DENT1.240 DENT1.239 INSTALLATION FILES ======================================================================= How to Obtain KIDS File and client applications: DENT GECS TRANSMIT Transmit Code Sheets File Name: DENT_1_2P42.zip FTP format: binary DENT_1_2P42.zip file will contain the following files: FTP File Name Description Format ----------------- ------------------------------------- ------ Dent_1_2p42.kid Installable KIDS file ASCII Dentalmrm.exe DRM V3.1.4.0 executable Binary Dentalmrmtx.exe DRM Plus V4.0.0.49 executable Binary setup.EXE Initial CVision (client) install file Binary DENT GECS MAIN MENU DENTAL Code Sheet Manager Menu update.EXE Subsequent CVision updates (client) Binary vbrun60sp6.exe Microsoft VB 6.0 SP6 runtime files (client) Binary Mdac_typ.exe Microsoft Data Access Components v2.8 (client)Binary Dent_1_2p42_rn_ig.pdf DENT1.242 Release Notes and Binary Installation Guide P42_patch_description.txt A copy of the patch description ASCII DRM Plus Manual.pdf User guide for DRM Plus Binary The zip files listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext DENT GECS MAINTENANCE USER MEN Maintenance Menu This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] DENT GECS REPORTS MENU Reports Menu TEST SITES DRM Plus? SYSTEM ALPHA/BETA ===================================================================== SAN DIEGO yes VMS Cache ALPHA BOSTON yes VMS Cache/Thin Client BETA FARGO yes W2K Cache/Thin Client BETA WESTERN NY no VMS Cache BETA DENT GECS TRANSMIT USER DENTAL Code Sheet Transmission Menu ROUTINE SUMMARY ===================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV039 [* to be deleted] DENTV39A [ to be deleted] DENTV040 [ to be deleted] DENT GECS USER MENU DENTAL Code Sheet User Menu DENTV041 [ to be deleted] DENTV042 n/a 8320931 42 DENTVA2 14211342 14282966 38,39,42 DENTVHL 13088143 13364754 40,42 DENTVHL2 5154609 5154663 40,42 DENTVRP4 9233470 9298307 30,32,31,42 DENTVTIX n/a 314768 42 DENTVTPA 4823862 4902746 39,42 DENTVTPC 10530540 10565254 39,42 DENTAPP Appointments INSTALLATION INSTRUCTIONS FOR DENT1.242 ====================================================================== This patch can be installed while users are on the system. The installation time should take less than 1 minute. 1. Obtain the Dent_1_2p42.kid file 2. For DSM sites review your mapped set. Disable any of the above routines if necessary. DENTCPA1 Control Point Activity Enter/Edit 3. From the Kernel Installation and Distribution System Menu, select the Installation menu. 4. Use Load a Distribution and enter Dent_1_2P42.kid when prompted for a Host file. You may need to attach a directory name. 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.242) a. Backup a Transport Global b. Compare Transport Global to Current System DENTCPA2 Print/Display Control Point Activity c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.242 7. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO System (DAS) options within VistA so that these options may no longer DENTOUT Outputs 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary ======================================================================= POST-INSTALLATION PROCESS ======================================================================= 1. If your site is running dentalmrm.exe (DRM), then Move dentalmrm.exe to ...\DOCSTORE and you are done! DENTRELEASE Review/Release Service Reports '...\' indicates your UNC/path for where DRM is located. 2. If your site is running dentalmrmtx.exe (DRM Plus) Move dentalmrmtx.exe to ...\DOCSTORE '...\' indicates your UNC/path for where DRM Plus is located. Run update.exe on all client machines that will launch DRM Plus (or all thin client servers if you are a thin client site). Update.exe does not require the installed to be an administrator. ****************************************************************** Please be careful to coordinate the server/client updates with each DENTSCHED Scheduling other so that the dental application works properly. You will know if the server/client files are not compatible because launching DRM Plus will cause approximately 30 client errors. This also means that you must carefully coordinate testing the new application in the TEST account since you must run update.exe on a rarely used machine for the dental staff to test against, as they will not be able to run the production side application after running the new update.exe. ******************************************************************* These are the DRM Plus files you are currently running from patch 39: DENTSUP Supervisor dentalmrmtx.exe version 4.0.0.481 dated 10/1/2004 5:44pm (server) update.EXE contains CVision.ocx dated 10/1/2005 3:09pm (client) setup.EXE new client install dated 10/1/2005 3:10pm (client) These are the new DRM Plus files from patch 42: dentalmrmtx.exe version 4.0.0.49 dated 1/5/2004 10:33am (server) update.EXE contains CVision.ocx dated 1/4/2005 10:50am (client) setup.EXE new client install dated 1/6/2005 9:20am (client) you only need setup.EXE to set up a new client machine, see step 3. DENTTREAT RELEASE Treatment Data Review/Release Menu 3. If your site is a DRM Plus site and has any new PCs, or new thin client SERVERS that need to be able to run DRM Plus, then you must be on the VHA domain and install the following files as an administrator of the machine: setup.EXE, vbrun60sp6.exe, Mdac_typ.exe and REBOOT the machine. If your site is about to be trained on DRM Plus and you need to set up the training room and/or dental PCs/thin client SERVERS, then the files in the Dent_1_2p42.zip file supercede any files you may have DENT AMIS DELETE Delete Dental AMIS (Temporary) Global saved from the patch 39 installation. Check the dates above to insure you are installing the correct/latest files. ======================================================================== SAMPLE INSTALLATION ======================================================================== Select Installation Option: INStall Package(s) Select INSTALL NAME: DENT1.242 Loaded from Distribution 1/5/05@09:13:44 => DENT1.242T6 ;Created on Jan 05, 2005@09:13:13 DENT AMIS TAPE Generate Monthly Dental AMIS Tape This Distribution was loaded on Jan 05, 2005@09:13:44 with header of DENT1.242T6 ;Created on Jan 05, 2005@09:13:13 It consisted of the following Install(s): DENT1.242 Checking Install for Package DENT1.242 Install Questions for DENT1.242 Incoming Files: 228.2 TREATMENT PLAN TRANSACTION/EXAM (Partial Definition) DENT SERVICE DELETE Delete Dental Service (Temporary) Global Note: You already have the 'TREATMENT PLAN TRANSACTION/EXAM' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DENT SERVICE TAPE Generate Monthly Dental Service Tape DEVICE: HOME// DENT1.242 ----------------------------------------------------------------------- Install Started for DENT1.242 : Jan 05, 2005@09:15:28 Build Distribution Date: Jan 05, 2005 Installing Routines: Jan 05, 2005@09:15:28 Installing Data Dictionaries: Jan 05, 2005@09:15:29 DENTADM EDIT Class I-VI (type 3) Admin Info Enter/Edit Installing PACKAGE COMPONENTS: Installing OPTION Installing PARAMETER DEFINITION Jan 05, 2005@09:15:29 Running Post-Install Routine: POST^DENTV042 >>>>> Inactivating DAS options in VistA <<<<< >>>>> Fixing D6999,D4211,D2940,D2999,D3999 for DRM Plus graphics <<<<< >>>>> Setting the Multi-Add flag for DRM Plus DCodes <<<<< >>>>> Remove HL7 Pending flag from Observe transactions <<<<< be used. Many enhancements/fixes were made in DRM Plus and some fixes DENTADM RELEASE Class I-VI (type 3) Admin Info >>>>> Setting the Treeview system parameter = yes <<<<< Updating Routine file... Updating KIDS files... DENT1.242 Installed. Jan 05, 2005@09:15:29 Install Message sent #147809 ----------------------------------------------------------------------- DENTADM RE-RELEASE Class I-VI Admin Entry (type 3) Edit/Re-Release 100% Complete DENTBATCH Enter Batch Screening/Complete Exam DENTCARD Enter Data Thru Card Reader DENTCDR Cost Distribution Report DENTFEE EDIT Applications and Dental Fee (type 5) Enter/Edit DENTFEE RELEASE Applications and Dental Fee (type 5) DENTFEE RE-RELEASE Applications and Fee (type 5) Edit/Re-Release DENTINI Initialize Card Reader DENTNCLINTIME Non Clinical Time were made in DRM as well. See the detailed description of changes below. DENTNCLINTIME DELETE Delete Non Clinical Time Entry DENTNCLINTIME EDIT Non Clinical Time Enter/Edit DENTNCLINTIME PROV Non Clinical Time by Provider DENTPERS EDIT Personnel Info (type 4) Enter/Edit DENTPERS RELEASE Personnel Info (type 4) DENTPERS RE-RELEASE Personnel Entry (type 4) Edit/Re-Release DENTPERS RPT Personnel Info (type 4) DENTPURGE Purge Dental AMIS DENTRELEASE ALL Release All Service Reports DENTTOOTH EDIT Tooth Chart Enter/Edit DENTTREAT DELETE Treatment Data Entry Delete DENTTREAT EDIT Treatment Data Enter/Edit (Full Screen) DENTTREAT LINE EDIT Treatment Data Enter/Edit (Line By Line) DENTTREAT RE-RELEASE Enable Edit/Re-Release of Treatment Data (Full) DENTTREAT1 EDIT Treatment Data (AMIS) Enter/Edit (Screen Handl) DENTTREATCLINIC RELEASE Clinic Summary DENTTREATM RE-RELEASE Enable Edit/Re-Release of Treatment Data (Line) DENTTREATNOREV RELEASE Release Report Without Reviewing Data DENTTREATPROV RELEASE Provider Summary DENTTREATSITPROV RELEASE Sittings By Provider The patch installation process should take be less than 5 minutes. -----DRM ONLY----- B. The Summary Reports (Provider and Clinic) now offer the choice to print only the totals columns. (this is already in DRM Plus) -----DRM Plus ONLY----- C. Added CPRS templates to Treatment Chart progress note and Addendum screens. CPRS templates are automatically displayed if linked to a TIU note title or embedded in the title boilerplate (applies to Treatment Chart and Clinical Record progress note title selection screens). NOIS:DUR-1004-31962 D. There is a new "Save unfiled data" dialog prompt and functionality to allow changing of providers (occurs when DRM Plus is closed, a patient change in CPRS occurs, and the option "Save unfiled data" under the File menu is clicked). The "Save unfiled data to another provider" option under the File menu was removed. FIXES TO THE DRM/DRM Plus APPLICATION 41 SEQ #40 DATE APPLIED: 2005-04-01 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information 521.3 Erosion SYSTEM ACCESS DURING INSTALLATION ======================================================================= Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM GUI option while the patch is being installed. All Dental users MUST close any open DRM GUI application prior to the patch being installed. Once the patch has completed the users can use the DRM application. POST-INSTALLATION PROCESS 521.4 Pathological resorption ======================================================================= The post-install routine will remove inactivated ICD-9's and add new ICD-9 codes to the DENTAL CPT CODE MAPPING (#228) table. It will also verify that the Condition field in file 228.2 matches the TP Condition field in file 228, and if not, then change the data for file 228.2. This part of the post-installation will be queued off in the background. 523.2 Gingival recession NOIS ADDRESSED BY THIS PATCH ======================================================================= n/a REQUIRED BUILDS: LEX2.031 TEST SITES SYSTEM ALPHA/BETA ====================================================================== 524.2 Anomalies of dental arch relationship El Paso ALPHA White River Junction BETA Louisville BETA Milwaukee BETA Minneapolis BETA ROUTINE SUMMARY ====================================================================== Second line of routines will look like: 524.3 Anomalies of tooth position ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV041 n/a 12568280 41 ====================================================================== INSTALLATION INSTRUCTIONS FOR DENT1.241 ====================================================================== 524.5 Dentofacial functional abnormalities This patch can be installed while users are on the system. The installation time should take less than 5 minutes. 1. Load the KIDS build from the mail message. 2. For DSM sites review your mapped set. Disable any of the above routines if necessary. 3. From the Kernel Installation and Distribution System Menu, select the Installation menu. 524.8 Other specified dentofacial anomalies 4. Use Load a Distribution and enter Dent_1_2P41.kid when prompted for a Host file. You may need to attach a directory name 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.241) a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 525.2 Atrophy of edentulous alveolar ridge 6. Use the Install Package(s) option and select package DENT1.241 7. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. Enter the Coordinator for Mail Group 'DENTV ADA CODE MAPPING':[Name] Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO 528.7 Other disturbances of oral epithelium, including tongue 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary ======================================================================== POST-INSTALLATION PROCESS ======================================================================== 1. Forward any Mailman messages generated during the post-installation. The post-install may generate a Mailman message if changes were made to the ADA Master table that were not part of the Dental Coding Group's recommended changes. These would include removing inactive ICD-9 codes that were added by the site and not known to the group. The Mailman message will be sent to the user loading the patch and must be forwarded to a Dental Administrator for evaluation. 2. Add Members to the new Mail Group. A new mail group has been added called DENTV ADA CODE MAPPING. Please add members to this mail group. These should be individuals who will be responsible for evaluating changes to the ADA Master table within Dental Record Manager. A good candidate for a member would be ======================================================================= The patch installation process should take be less than 5 minutes. the dental administrator for DRM in the Dental Service. This is an example of adding a member to this mail group. There are several Kernel options that allow the adding of members to a mail group including using Fileman. This example just shows one of those options display: Select MAIL GROUP NAME: DENTV ADA CODE MAPPING ------------------ Select MEMBER: [add the name of the person to become a member] The post installation process may take a few minutes to process the TYPE: ======================================================================== SAMPLE INSTALLATION ======================================================================== Select Installation Option: INstall Package(s) Select INSTALL NAME: DENT1.241 Loaded from Distribution 10/13/04@13:32 => DENT1.241T1 ;Created on Oct 13, 2004@13:31:32 changes to the DENTAL CPT CODE MAPPING (#228) data. This Distribution was loaded on Oct 13, 2004@13:32:31 with header of DENT1.241T1 ;Created on Oct 13, 2004@13:31:32 It consisted of the following Install(s): DENT1.241 Checking Install for Package DENT1.241 Install Questions for DENT1.241 Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// CONSOLE Install Started for DENT1.241 : Oct 13, 2004@13:32:45 Build Distribution Date: Oct 13, 2004 Installing Routines: Oct 13, 2004@13:32:45 Running Post-Install Routine: POST^DENTV041 >>>>> Updating ADA table for known ICD-9 changes <<<<< >>>>> Finding inactive ICD-9s in the ADA table <<<<< ENHANCEMENTS TO THE DRM APPLICATION Update of file 228.2 data successfully queued, task# 346516 Updating Routine file... Updating KIDS files... DENT1.241 Installed. Oct 13, 2004@13:32:46 ======================================================================= Install Message sent #147427 A. A new mail group DENTV ADA CODE MAPPING will be sent with this patch. This mail group will be used in future patches that modify the ADA Master table to notify users of the changes. The purpose of this patch is for Dental Record Manager to comply with B. The DENTAL CPT CODE MAPPING table has been changed so that any references to inactivated ICD-9 codes have been replaced or removed. Changes to the national mapping table were made by the Dental Coding Group members. The following changes may occur: CODE REMOVE ICD-9 REPLACE and/or ADD ICD-9 ----- ------------- ----------------------------------- D0340 524.5 524.21 524.22 524.23 524.24 524.25 D4270 523.2 523.23 the ICD-9 changes in the LEX2.031 patch. The following Dental ICD-9 D4271 523.2 523.24 D7111 521.4 521.42 D7286 528.7 528.79 D7287 528.7 528.79 D7290 524.3 524.31 524.32 524.33 524.34 524.35 D7340 525.2 525.22 D7350 525.2 525.25 528.71 D7291 524.3 524.31 524.32 524.33 524.34 524.35 D7465 528.7 528.79 D7940 524.2 524.59 codes are being inactivated and must be removed from the Dental CPT D7941 524.2 524.22 524.23 D7943 524.2 524.26 D7944 524.3 524.31 524.32 524.33 524.34 524.35 D7945 524.2 524.24 524.25 D7946 524.2 524.24 524.25 524.23 D7947 524.2 524.27 524.33 D7948 524.2 524.59 524.89 D7949 524.2 524.59 524.89 D7950 524.8 525.23 525.26 D7955 524.8 525.23 525.26 Code Mapping table: D7995 524.8 525.23 525.26 D8010 524.3 524.31 524.32 524.33 524.34 524.35 D8020 524.3 524.31 524.32 524.33 524.34 524.35 D8030 524.3 524.31 524.32 524.33 524.34 524.35 D8040 524.3 524.31 524.32 524.33 524.34 524.35 D8050 524.3 524.31 524.32 524.33 524.34 524.35 D8060 524.3 524.31 524.32 524.33 524.34 524.35 D8070 524.3 524.31 524.32 524.33 524.34 524.35 D8080 524.3 524.31 524.32 524.33 524.34 524.35 D8090 524.3 524.31 524.32 524.33 524.34 524.35 D8660 524.3 524.31 524.32 524.33 524.34 524.35 D8670 524.3 524.31 524.32 524.33 524.34 524.35 D8680 524.3 524.31 524.32 524.33 524.34 524.35 D8690 524.3 524.31 524.32 524.33 524.34 524.35 D8691 524.3 524.31 524.32 524.33 524.34 524.35 D8692 524.3 524.31 524.32 524.33 524.34 524.35 D8999 524.3 524.31 524.32 524.33 524.34 524.35 D9910 523.2 523.25 D9911 523.2 523.24 D9940 521.2 521.12 521.1 Excessive attrition the following are nationally mapped CPT's, your site may not have DENT1.239 with these codes 15120 525.2 528.71 15350 525.2 524.8 528.71 525.23 525.26 20902 524.00 525.23 525.26 21125 525.2 525.23^525.26 21210 525.2 525.23^525.26 40818 525.2 524.8, 528.71^525.23^525.26 40840 525.2 524.8, 528.71^525.23^525.26 40845 525.2 524.8, 528.71^525.23^525.26 521.2 Abrasion 64716 525.2 525.23^525.26 524.3 will be removed from all of the following nationally mapped CPT codes: 99201 99202 99203 99204 99205 99211 99212 99213 99214 99215 99241 99242 99243 99244 99245 99251 99252 99253 99254 99255 99281 99282 99283 99284 99285 99371 99372 99373 44 SEQ #42 DATE APPLIED: 2005-04-01 00:00:00 APPLIED BY: USER,ONE 43 DATE APPLIED: 2005-06-11 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: General Information 13 ADA Categories (Diagnostic, Preventative, etc) FIXES TO THE DRM/DRM Plus APPLICATIONS ======================================================================= A. Provider selection on the report screen will be based on the selected division. If there is no DIVISION assigned to a Provider, then that provider will display under any site, otherwise the Provider will only display for sites that he/she has been assigned to. NOIS:PUG-1104-50338 B. The user can no longer modify (remove) the Report Date on the File Fee Basis screen. This was causing a 'List Index Out Of Bounds' * 131 DES Product Lines (Brief Exams, Extensive Exams, etc) error. NOIS:MAD-0205-40840 C. Non-Clinical Time no longer requires the 4 digit Provider Id to file time. The report will still show data for those providers with only a 4 digit Id (historical data), but it will use the 8 digit Id if there is one. Non-Clinical time can be entered by non-dentist users in the Education and Research categories. D. Transactions for partials will send Tooth# in the HL7 message to the AAC for research purposes. * ADA/CPT Code. DRM Plus only: -------------- E. Head and Neck, PSR and Perio data can be filed for providers without a 4 digit Provider Id. Only the 8 digit Id is now required. F. If all transactions for an encounter are deleted through the transaction table, then the associated encounter will also be deleted. G. If a speed code becomes corrupted, the site (IRM) can now delete it using the DENTV XPAR EDIT PARAMS option in VistA. NOIS:PUG-0105-51270 H. Existing Tooth Notes and Head and Neck data will be inserted into the progress note when the corresponding tree item is dbl-clicked. I. Three consecutive dashes in the progress note for PSR and Perio have been replaced with '- -' or '-~-' so that the note no longer has conflicts with TIU transcription placeholders. NOIS:WWW-0205-50264 When the DAS Category is selected, reports display workload credit J. Teeth will be displayed in tooth# order for Findings in the progress note (example: Missing Teeth: 4, 7, 10, 12.) rather than in the order the user enters them. K. Exiting or changing patients in DRM Plus while on the perio screen correctly prompts to save unfiled data. SYSTEM ACCESS DURING INSTALLATION ======================================================================== using CTVs. When any of the DES categories are selected, reports Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM GUI option while the patch is being installed. All Dental users MUST close any open DRM GUI application prior to the patch being installed. Once the patch has completed the users can use the DRM application. POST-INSTALLATION PROCESS ======================================================================= *********************************************************************** * * display workload credit using RVUs. CPT codes (non-DCodes) are now * THE FOLLOWING STEP BE COMPLETED FOR THIS PATCH TO WORK PROPERLY * * * *********************************************************************** After the KIDS install has completed, IRM needs to place the DRM executable (dentalmrm.exe) or the DRM Plus executable (dentalmrmtx.exe) in the appropriate directory. There are NO additional client side installations for DRM Plus with this patch! See the installation steps below for details. included in the DES category totals. NOIS ADDRESSED BY THIS PATCH ======================================================================= PUG-1104-50338 MAD-0205-40840 PUG-0105-51270 WWW-0205-50264 REQUIRED BUILDS: DENT1.242 INSTALLATION FILES ======================================================================= How to Obtain KIDS File File Name: DENT_1_2P43.zip FTP format: binary DENT_1_2P43.zip file will contain the following files: FTP File Name Description Format ------------------ ------------------------------------------ ------ The patch installation process should take be less than 5 minutes. Dent_1_2P43.kid KIDS file which will install 1 KIDS Builds ASCII DENT1.243 Dentalmrm.exe DRM V3.1.5.0 executable Binary Dentalmrmtx.exe DRM Plus V4.1.0.0 executable Binary Dent_1_2p43_rn_ig.pdf DENT1.242 Release Notes and Binary Installation Guide The zip file listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext ======================================================================== This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] ENHANCEMENTS TO THE DRM AND DRM PLUS APPLICATION TEST SITES DRM/DRM Plus SYSTEM ALPHA/BETA ==================================================================== Manhattan DRM Plus VMS/Cache ALPHA Miami DRM Plus VMS/Cache BETA Gainesville/Daytona both VMS/Cache, multi-facility BETA ROUTINE SUMMARY ====================================================================== Second line of routines will look like: ======================================================================== ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV042 [*to be deleted] DENTV044 [to be deleted] DENTV043 n/a 2686585 43 DENTVA1 12453282 11487204 38,39,43 DENTVA11 n/a 7229654 43 DENTVA2 14211342 10927360 38,39,42,43 A. The following new KLF-style reports are available within DRM/DRM Plus. DENTVA21 n/a 12953028 43 DENTVA3 n/a 5789815 43 DENTVA4 n/a 7664444 43 DENTVA5 n/a 11555857 43 DENTVA51 n/a 5708255 43 DENTVA6 n/a 9217535 43 DENTVAU 2840803 10125515 38,39,43 DENTVDD1 5150464 5655102 31,38,39,43 DENTVHL1 40,43 DENTVRP1 5103649 5124725 30,34,36,31,37,39,43 These reports can retrieve data using DAS or DES type categories and DENTVRP3 6517626 7496015 30,32,35,31,39,43 DENTVRP4 9233470 9582106 30,32,31,42,43 DENTVRP8 4052725 5141483 38,39,43 DENTVRP9 6935679 7411021 30,32,34,31,38,39,43 DENTVTP4 10224521 10032432 39,43 DENTVTPA 4902746 5358178 39,42,43 DENTVTPC 10565254 11625812 39,42,43 DENTVUTL 191547 1750114 30,33,34,36,31,43 DENTVXPR 913261 1047935 31,43 will display the appropriate workload value (CTV or RVU). INSTALLATION INSTRUCTIONS FOR DENT1.243 ====================================================================== This patch must be installed when there are no dental DRM processes running. All open DRM and DRM Plus GUI applications must be closed. The installation time should take less than 5 minutes. 1. Obtain the Dent_1_2P43.kid file 2. For DSM sites review your mapped set. Disable any of the above 1: Observations per Month routines if necessary 3. From the Kernel Installation and Distribution System Menu, select the Installation menu 4. Use Load a Distribution and enter Dent_1_2P43.kid when prompted for a Host file. You may need to attach a directory name 5. You may elect to use the following options (when prompted for INSTALL NAME, enter DENT1.243) 2: Service Profile a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 6. Use the Install Package(s) option and select package DENT1.243 7. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO 3: Service by Product Group Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO 8. AXP/DSM Sites - After the patch has been installed, rebuild your map set, if necessary ======================================================================= POST-INSTALLATION PROCESS ======================================================================= 4: Provider Profile 1. If your site is running dentalmrm.exe (DRM), then Move dentalmrm.exe to ...\DOCSTORE '...\' indicates your path for where DRM is located. 2. If your site is running dentalmrmtx.exe (DRM Plus) Move dentalmrmtx.exe to ...\DOCSTORE '...\' indicates your path for where DRM Plus is located. 3. Some sites are having a problem viewing the Version Notes from the DRM/DRM Plus Help menu. The .ini parameters may not have been changed This patch contains fixes and enhancements to the reporting features 5: Patient Category Profile based on the installation instructions in a previous patch. In order to view Version Notes, the correct FTP parameters must exist in the dentalmrm.ini file found on the ...\DOCSTORE directory where the executable exists: FTPHOST=ftp.docstorsys.com FTPPASSWORD=dss376 FTPUSERID=DRM ======================================================================== 6: Patients by Eligibility Setting SAMPLE INSTALLATION ======================================================================== Select Installation Option: INstall Package(s) Select INSTALL NAME: DENT1.243 Loaded from Distribution 3/7/05@15:43:24 => DENT1.243T3 ;Created on Mar 07, 2005@15:21:06 This Distribution was loaded on Mar 07, 2005@15:43:24 with header of DENT1.243T3 ;Created on Mar 07, 2005@15:21:06 It consisted of the following Install(s): 7: Patients by Eligibility Group DENT1.243 Checking Install for Package DENT1.243 Install Questions for DENT1.243 Incoming Files: 220 DENTAL PATIENT (Partial Definition) Note: You already have the 'DENTAL PATIENT' File. 8: Patients by Dental Patient Category 226 DENTAL NON CLINICAL TIME (Partial Definition) Note: You already have the 'DENTAL NON CLINICAL TIME' File. 228 DENTAL CPT CODE MAPPING (Partial Definition) Note: You already have the 'DENTAL CPT CODE MAPPING' File. 228.1 DENTAL HISTORY (Partial Definition) Note: You already have the 'DENTAL HISTORY' File. 9: Outpatient Service by Product Group 228.2 TREATMENT PLAN TRANSACTION/EXAM (Partial Definition) Note: You already have the 'TREATMENT PLAN TRANSACTION/EXAM' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES//NO Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. 10: Inpatient Service by Product Group DEVICE: HOME// Install Started for DENT1.243 : Mar 07, 2005@15:47:44 Build Distribution Date: Mar 07, 2005 Installing Routines: Mar 07, 2005@15:47:44 11: Distribution of Dental Services Running Pre-Install Routine: PRE^DENTV043 >>>>> Deleting field .4 from file 226 <<<<< Installing Data Dictionaries: Mar 07, 2005@15:47:45 Installing PACKAGE COMPONENTS: Installing REMOTE PROCEDURE Installing OPTION Installing PARAMETER DEFINITION Mar 07, 2005@15:47:45 Running Post-Install Routine: POST^DENTV043 Patch 43 post-install successfully queued, task# 349141 Updating Routine file... Updating KIDS files... B. The Fee Basis Report provides the capability to view detail data. DENT1.243 Installed. Mar 07, 2005@15:47:46 Install Message sent #151830 Detailed data contains subtotals and can be sorted by clicking on within Dental Record Manager. Many new reports will now available the header row. C. Total Sittings/Visits by Patient Type is available. This report is similar to the Sittings/Visits Report within VistA/DAS reporting. D. The current Summray and Sittings reports were enhanced to use RVU vs. CTV, and multiple DES sort categories (ADA Category, VA-DSS Products, ADA/CPT Codes) as well as the existing DAS category. These reports currently retrieve data for providers with the new 8 digit Provider Id. Now they will also get historical data within DRM and DRM Plus, as well as enhancements to existing reports. for any dental provider in the system. E. The Sittings Reports (Provider/Clinic) now allow sorting by column heading once the report has been run. Simply click on the column that you want sorted and the data will re-arrange into the correct sequence. The Totals row will always remain at the end and the subtotals will be based on the column being sorted. F. The Extract options allow the user to select an individual site, or all sites. If a single site is selected, then the providers displayed on the New Extract screen will be valid for the selected site only. G. Headers in the extract text that started with "DAS " (for example, DAS DIVISION) have been changed to remove the DAS designation. H. The informational text on the Delete Encounter screen within the Dental History tab was changed to remove all references to DAS. I. A legend box can be displayed detailing the provider type and Where appropriate, workload reports will allow sorting by the specialty codes that make up the 8 digit Provider Id on any report screen that contains the 8 digit provider Id. J. Provider lists on reports and the New Extract now display the provider type and provider specialty information next to the name. K. A new Version Information screen will pop-up for the user when a new version is run for the first time. The user may select to show this screen the next time they launch DRM/DRM Plus. following categories: L. $Values, VA Cost to Perform and Equivalent Private Cost can be entered for ADA/CPT codes by admin users. The fields are available on the Edit CPT Field Values option or can be quickly edited using a new option called Edit Procedure Costs. These values display on various DES reports. M. Patient SSNs on the reports (Sittings, Detailed Fee Basis and the DRM Plus Provider Planning report) have been replaced with the patient name and last 4 of the SSN. 30 DAS Categories (Cases Complete, Cases Terminated, etc) DRM Plus only ------------- N. Primary and Secondary Provider designations can be defined and will display on the header of the application next to the patient name. A new report Provider Planning is available to display planned treatment items for the primary and secondary providers. Admin users can define who can edit Primary/Secondary providers using a new parameter on the Security tab of the Admin Toolbox for users. 45 DATE APPLIED: 2005-12-02 00:00:00 APPLIED BY: USER,ONE 46 DATE APPLIED: 2006-03-08 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Set the TP AREA field of file 228 to areWholeTooth for codes D2910, D2915, and D2920. 49 SEQ #46 DATE APPLIED: 2006-11-22 23:35:27 APPLIED BY: USER,ONE DESCRIPTION: General Information 523.0 Acute gingivitis ======================================================================= Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM GUI option while the patch is being installed. All Dental users MUST close any open DRM GUI application prior to the patch being installed. Once the patch has completed the users can use the DRM application. POST-INSTALLATION PROCESS ======================================================================= 523.1 Chronic gingivitis The post-install routine will remove inactivated ICD-9's and add new ICD-9 codes to the DENTAL CPT CODE MAPPING (#228) table. If the site manually changed other ICD-9's that are now inactive and the patch made changes to those codes, then a mailman message will be sent to the users in the DENTV ADA CODE MAPPING mail group to verify those changes. REQUIRED BUILDS: LEX2.045 523.3 Acute periodontitis TEST SITES ALPHA/BETA ====================================================================== Bay Pines ALPHA ROUTINE SUMMARY ====================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 523.4 Chronic periodontitis Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV049 n/a 30259209 49 ====================================================================== INSTALLATION INSTRUCTIONS FOR DENT1.249 ====================================================================== This patch can be installed while users are on the system. The installation time should take less than 5 minutes. 1. Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." (Note: test sites will receive the kids build in a .zip file with the patch description.) 2. Use the Install Package(s) option and select package DENT1.249 3. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. The patch installation process should take be less than 5 minutes. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO ======================================================================== POST-INSTALLATION PROCESS ======================================================================== Forward any Mailman messages generated during the post-installation. The post-install may generate a Mailman message if changes were made to the ADA Master table that were not part of the Dental Coding Group's recommended changes. These would include removing inactive The post installation process may take a few minutes to process the ICD-9 codes that were added by the site and not known to the group. The Mailman message will be sent to the user loading the patch and must be forwarded to a Dental Administrator for evaluation. changes to the DENTAL CPT CODE MAPPING (#228) data. ======================================================================= ENHANCEMENTS TO THE DRM APPLICATION ======================================================================= The DENTAL CPT CODE MAPPING table has been changed so that any references to inactivated ICD-9 codes have been replaced or removed. Changes to the national mapping table were made by the Dental Coding Group members. The following changes may occur: CODE REMOVE ICD-9 REPLACE with ICD-9 ----- ------------- -------------------------- D4210 523.4 523.40 The purpose of this patch is for Dental Record Manager to comply with D4211 523.4 523.40 D4240 523.4 523.40 D4241 523.4 523.40 D4245 523.4 523.40 D4260 523.4 523.40 D4261 523.4 523.40 D4263 523.4 523.40 D4264 523.4 523.40 D4265 523.4 523.40 D4266 523.4 523.40 the ICD-9 changes in the LEX2.045 patch. The following Dental ICD-9 D4267 523.4 523.40 D4268 523.4 523.40 D4273 523.4 523.40 D4274 523.4 523.40 D4275 523.4 523.40 D4276 523.4 523.40 D4320 523.4 523.40 D4321 523.4 523.40 D4341 523.4 523.40 D4342 523.4 523.40 codes are being inactivated and must be removed from the Dental CPT D4381 523.4 523.40 D4910 523.4 523.40 D4920 523.4 523.40 D7261 478.1 478.19 30420 478.1 478.19 30465 478.1 478.19 31020 478.1 478.19 31030 478.1 478.19 30630 478.1 478.19 99201 523.4 523.40 Code Mapping table: 99202 523.4 523.40 99203 523.4 523.40 99204 523.4 523.40 99205 523.4 523.40 99211 523.4 523.40 99212 523.4 523.40 99213 523.4 523.40 99214 523.4 523.40 99215 523.4 523.40 99241 523.4 523.40 99242 523.4 523.40 99243 523.4 523.40 99244 523.4 523.40 99245 523.4 523.40 99251 523.4 523.40 99252 523.4 523.40 99253 523.4 523.40 99254 523.4 523.40 99255 523.4 523.40 99281 523.4 523.40 478.1 Other diseases of nasal cavity and sinuses 99282 523.4 523.40 99283 523.4 523.40 99284 523.4 523.40 99285 523.4 523.40 99371 523.4 523.40 99372 523.4 523.40 99373 523.4 523.40 If the site manually changed other ICD-9's that are now inactive, the patch will replace them as follows: 521.8 Other specific diseases of hard tissues of teeth 478.1 with 478.19 521.8 with 521.81 523.0 with 523.00 523.1 with 523.10 523.3 with 523.30 523.4 with 523.40 SYSTEM ACCESS DURING INSTALLATION 51 SEQ #48 DATE APPLIED: 2007-01-08 16:04:16 APPLIED BY: USER,ONE DESCRIPTION: General Information SYSTEM ACCESS DURING INSTALLATION ======================================================================= Installation of this patch does not require users to be off of the system. POST-INSTALLATION PROCESS ======================================================================= The post installation will queue a job to reset affected transactions back to a 'pending' HL7 transmission status. These transactions are in ======================================================================= file 228.2 for encounter and file 228.5 for fee. REQUIRED BUILDS: none TEST SITES ALPHA/BETA ====================================================================== ROUTINE SUMMARY The purpose of this patch is to resend dental HL7 transactions for ====================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;AUG 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ------------------------ DENTV051 n/a 11269194 51 ====================================================================== encounter and fee basis that were dropped by the VIE. This data is INSTALLATION INSTRUCTIONS FOR DENT1.251 ====================================================================== This patch can be installed while users are on the system. The installation time should take less than 1 minute. 1. Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." (Note: test sites will receive the kids build in a .zip file with the patch description.) 2. Use the Install Package(s) option and select package DENT1.251 required for national reporting of dental workload. 3. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO The patch installation process should take be less than 1 minute. 22 SEQ #21 DATE APPLIED: 1997-03-21 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This is patch 22 of Dental Version 1.2. This patch is the final clean up of file 3, 6, and 16. It'll delete any old routines that reference these files. 47 DATE APPLIED: 2007-01-08 17:06:53 APPLIED BY: USER,ONE DESCRIPTION: General Information entered and signed from the Clinical Record tab for the next patient, the additional signer will not carry over to the next patient. 6. If a previous Head & Neck entry is deleted and a new entry is created in the same session, the new entry will be created correctly, rather than being created as a deleted record. 7. The code boilerplate from TIU was putting an additional text marker into the DRM Plus note. When two text markers are present and the ENHANCEMENTS TO THE DRM PLUS APPLICATION user clicks 'Back' and 'Next' the note was being duplicated exponentially. The second text marker has been removed and this will no longer occur. 8. Users without an 8 digit provider Id may run reports without seeing a list-out-of-bounds error message. 9. If the user had selected a tab, other than the Chart/Treatment tab as the initial tab, a run time error was generated when changing patients from CPRS. Any tab can be selected as the initial tab ======================================================================== (including the new Cover Page) without generating a runtime error when changing patients. 10. "Observe" type transactions will appear in the progress note when entered from the Completed tab. This type of transaction will always appear under the Other Dental Findings heading. 11. Markers on a surface "m" will now be removed when adding a retained root to the tooth. A. Residents are required to enter a "Distributed" (Attending) Provider 12. When adding a retained root to a crown, the crown will be removed. Prevent whole tooth extraction on a tooth with retained roots. 13. Corrected the tooltip text (hover help) for the "Add Sub-Phase" button on the sequencing screen. 14. The tooth selection box will be cleared for multi-add when using quick list or local codes. 15. Corrected advance of MGJ on the perio screen. when filing data to PCE. The Distributed Provider will become the 16. PSR data will be cleared when changing patients. This will prevent PSR data from the previous patient displaying incorrectly. 17. Corrected problem with the asterisks on the notes button not appearing in certain scenarios. 18. If the perio "clear" function results in an impacted tooth showing at tooth #1, then the auto-advance did not work properly. This has been fixed. PCE Primary Provider for the encounter and will be sent to the 19. Changed planned extraction to remove M/D lesions. 20. Corrected the jumbled view of multi-tooth when selecting a non- multi-tooth code. 21. When adding a coping or crown on top of an existing implant by using the ADA Codes or Add text box, the graphics did not draw appropriately. The graphic will now display correctly. national database for reporting. All local DRM Plus reports will 22. When DRM changes patients, return to the default view. 23. The perio "Compare" button will now be enabled when there are two exams to compare. 24. Removed accelerator keys from H&N, Sequencing, PSR and Plaque Index screens. 25. Changed display of planned graphics to always apply planned items after any diagnostic findings or completed items regardless of date. continue to count workload toward the resident. The Distributed This may result in planned items not showing correctly in some cases. 26. If you mark as missing a root on a bridge abutment and then try to remove the bridge by clicking missing and then the pontic, the extract bridge popup does not show and only the pontic is removed, leaving the bar in place. This has been fixed. 27. Add retained root, then planned extract root, implant, coping, crown. After that, the already pressed restore button does not work on any teeth. This has been fixed. Provider will show up on the DRM Plus Extract. 28. Don't save the sequencing note if it has not changed. 29. CCOW will be defaulted OFF, or disabled. In order to enable it, IRM must add a CCOW=ON parameter to the CPRS Tools menu string for DRM Plus. (CCOW=1 will also enable CCOW.) 30. Admin users may no longer "re-add" nationally mapped CPT codes to the ADA Mapping table which allowed them to modify the RVU and VA-DSS product line information. 31. Quick codes that are DRM Plus "ranged" codes (used in bridges for example) can now be removed from the user's Quick List. This affected sites as they were migrating to DRM Plus from DRM. 32. A single diagnosis is pre-selected as the Primary PCE Diagnosis. This will work when there is a single diagnosis entry on the filing options page, or when there are multiple entries as long as they are all the same diagnosis code. ======================================================================== B. A new Cover Page is available with patient demographic and recent 33. A list-out-of-bounds error will no longer occur trying to create the progress note under certain (infrequent) circumstances when the user clicks back and next, deleting and adding transactions many times. 34. The Print button on the File menu will only work for 'Notes' on the Clinical Record tab. The other types of entries (Meds, Consults, Vitals, etc) cannot be printed from DRM Plus. 35. Diagnostic Findings older than the 1 day that are deleted by an admin user will be removed from the graphic and the transaction dental activity information. Access to edit eligibility information list. These were previously shown in the transaction list with a strike-through as if a non-admin user had deleted them. 36. Partials that were modified or deleted in the sequencing screen displayed incorrectly in the progress note. They were showing entries for each tooth in the partial rather than a single entry. 37. The Visit Date will be used in the transaction list rather than the date the item was created. This is a more relevant date to the user. on this screen will be assigned by the dental administrator. SYSTEM ACCESS DURING INSTALLATION ======================================================================== Installation of this patch does not require users to be off of the system. However, all Dental users should not use the DRM Plus GUI while the patch is being installed. All Dental users MUST close any open DRM Plus GUI application prior to the patch being installed. Once the patch has completed the users can use the DRM Plus application. POST-INSTALLATION PROCESS ======================================================================= The post-installation will change the D6056 ada code to 'Coping' for the correct DRM Plus graphics, will set a default for the new DENTV DRM NO VISIT CREATE and DENTV DRM DUPCHECK OFF parameters and will add 1 to each entry defined in the DENTV DRM DEF STARTUP TAB parameter because there's a new tab zero (0) for the Cover Page. The post-installation will also start a TaskMan job to loop through all the Dental History entries (228.1) for each Dental Patient (220) C. DRM Plus will synchronize planned and completed care. If exact and inactivate (set DAS DISPOSITION=Completed) the last encounter if the status is 'In Progress' and date is > 2 years (730 days). *********************************************************************** * * * THE FOLLOWING STEP BE COMPLETED FOR THIS PATCH TO WORK PROPERLY * * * *********************************************************************** After the KIDS install has completed, IRM needs to place the DRM Plus duplicates are found between planned items and newly entered executable (dentalmrmtx.exe) in the appropriate directory. IRM must also complete some additional client setup on client pcs or thin client servers. See the installation steps below for details. REMEDY CALLS ADDRESSED BY THIS PATCH ======================================================================= Sheridan HD141287 iMed Consent button Gainesville HD140425 Additional signer error Gainesville HD139916 default tooth number for D9971 Multiadd completed items (if, for example, the user enters new items rather Gainesville HD136629 List index out of Bounds Error when no appts/cancel Gainesville HD135195 Teeth graphic will not provide proper display Gainesville HD135014 List index out of bounds error generating note Puget Sound HD134425 TIU notes repeat when dbl hyphen line is present REQUIRED BUILDS: DENT1.246 INSTALLATION FILES than completing the existing planned item) then the planned items ==================================================================== How to Obtain KIDS File File Name: Dent_1_2P47.zip FTP format: binary Dent_1_2p47.zip file will contain the following files: FTP File Name Description Format ------------------ ---------------------------- ------ Dent_1_2p47.kid KIDS file which will install ASCII one KIDS Builds: DENT1.247 will be automatically deleted. Potential duplicates matching a dentalmrmtx.exe DRM Plus V4.7.0.7 executable Binary setupP47.EXE CVision (client) install file Binary Dent_1_2p47_rn_ig.pdf DENT1.247 Release Notes and Binary Installation Guide P47_QUICKstart.pdf Description (w/ screen shots) Binary of the enhancements/fixes The zip files listed above may be obtained via FTP. The preferred method is to FTP the files from download.vista.domain.ext tooth# will be presented to the user so that the user may decide This transmits the files from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as follows: CIO FIELD OFFICE FTP ADDRESS DIRECTORY ---------------- ------------------------- -------------------- Albany ftp.fo-albany.domain.ext [anonymous.software] Hines ftp.fo-hines.domain.ext [anonymous.software] Salt Lake City ftp.fo-slc.domain.ext [anonymous.software] This patch contains fixes and enhancements to Dental Record Manager which item(s) to keep or delete. TEST SITES SIZE/TYPE ALPHA/BETA ==================================================================== Tuscon, AZ Large ALPHA Houston, TX Large BETA Manhattan, NY Large BETA ROUTINE SUMMARY (checksums using CHECK1^XTSUMBLD) ==================================================================== Second line of routines will look like: ;;1.2;DENTAL;<patch list>;Aug 10, 2001 Routine Before Patch After Patch Patch List -------- ------------ ----------- ---------- DENTV046 <to be deleted> DENTV047 n/a 12486220 47 DENTVA2 34594801 35380230 38,39,42,43,45,47 DENTVA3 13852254 21845633 43,45,47 DENTVA7 n/a 26216617 47 DENTVAU 35278064 39428093 38,39,43,47 D. Added a "Save & Exit" button to the sequencing screen. Users may DENTVHL 55257232 58018478 40,42,45,47 DENTVHLF 23062617 23062236 40,47 DENTVIP3 36064821 37084460 31,39,47 DENTVRF <to be deleted> DENTVRF0 12958911 18554933 31,37,47 DENTVRF1 <to be deleted> DENTVRF2 <to be deleted> DENTVRF3 <to be deleted> DENTVRF4 <to be deleted> DENTVRH 41461464 41991101 31,37,38,39,45,47 add or modify the treatment plan and file the changes without having DENTVRP9 53259130 56135358 30,32,34,31,38,39,43,45,47 DENTVTP0 2411836 65772564 39,47 DENTVTP2 13504864 16293307 38,39,45,47 DENTVTP4 48820982 51740077 39,43,45,47 DENTVTP5 12210838 15906903 39,45,47 DENTVTP6 23334296 26292035 39,45,47 DENTVTP7 11644010 14505318 39,47 DENTVTPA 29373949 28123580 39,42,43,45,47 DENTVTPB <to be deleted> DENTVTPC 73761113 76438192 39,42,43,45,47 to click "Next" through the other screens. There must be no DENTVTPD 29778472 31135124 39,47 DENTVUTL 19086877 22593588 30,33,34,36,31,43,45,47 INSTALLATION INSTRUCTIONS FOR DENT1.247 ====================================================================== This patch must be installed when there are no dental DRM processes running. All open DRM Plus GUI applications must be closed. The installation time should take less than 2 minutes. Completed transactions, Perio, PSR, or Head and Neck data and the 1. Obtain the Dent_1_2P47.kid file 2. From the Kernel Installation and Distribution System Menu, select the Installation menu 3. Use Load a Distribution and enter Dent_1_2P47.kid when prompted for a Host file. You may need to attach a directory name 4. You may elect to use the following options (when prompted for most recent dental encounter must be Active for this feature to work. INSTALL NAME, enter DENT1.247) a. Backup a Transport Global b. Compare Transport Global to Current System c. Verify Checksums in Transport Global 5. Use the Install Package(s) option and select package DENT1.247 6. For the install prompts, enter either Yes or No depending upon the normal practice at your facility. This example shows answering NO: Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO ======================================================================= POST-INSTALLATION PROCESS ======================================================================= 1. Move dentalmrmtx.exe to ...\DOCSTORE '...\' indicates your path for where DRM Plus is located. E. Added an "Edentulous" button to diagnostic findings. Clicking Run setupP47.EXE on all Windows Workstations, Thin Client Servers, Windows Terminal Services Servers and Citrix Servers that need to launch the dentalmrmtx.exe you moved to \DOCSTORE. SetupP47.exe does NOT need to be run on the machine that hosts the \DOCSTORE folder. We recommend that setupP47.EXE be run by an administrator. SetupP47.EXE replaces the CVision.ocx file (and other files) in C:\WINNT\SYSTEM32 and registers it on the machine. The version of CVision.ocx (found by right-clicking the .ocx and selecting Properties option, Version tab) is 2.2.0.14. Edentulous and then clicking a tooth will mark all teeth in that Note: On some Windows Server machines the setupP47.EXE file will not update the CVision.ocx file in WINNT\SYSTEM32. If the version is not 2.2.0.14 then Micorsoft's Data Execution Prevention (DEP) may be the issue. Turn DEP off (call DSS tech support if you need help with this), reboot the machine and install the client side files by running setupP47.EXE. Additional information on Microsoft's DEP can be found at: http://support.microsoft.com/kb/875352 Plus including capturing the Distributed (Attending) Provider when arch as missing and create the associated transactions. ********************************************************************* Please be careful to coordinate the server/client updates with each other so that the dental application works properly. You will know if the server/client files are NOT compatible because launching DRM Plus will cause approximately 30 client errors! This also means that you must carefully coordinate testing the new application in the TEST account since you must run setupP47.exe on a rarely used machine for the dental staff to test against, as they will not be able to run the production side application after updating the client. ********************************************************************* 2. Once the patch is released, the Patch 47 User Manual and Administrative Manual will be available are available on the DRM Plus intranet site: http://vaww1.domain.ext/dental/ under the DRM Plus link found on the left side of the main page, then DRM Plus Resources found at the bottom of the page. The documents are titled: DRM Plus Administrators Manual DRM Plus Users Manual F. Ancillary applications or websites may be defined by the dental ======================================================================== SAMPLE INSTALLATION ======================================================================== Select Installation Option: INstall Package(s) Select INSTALL NAME: DENT1.247 Loaded from Distribution 8/2/06@14:22:44 => DENT1.247T4 ;Created on Aug 02, 2006@14:03:52 This Distribution was loaded on Aug 02, 2006@14:22:44 with header of DENT1.247T4 ;Created on Aug 02, 2006@14:03:52 administrator to launch via the DRM Plus Tools menu. This is similar It consisted of the following Install(s): DENT1.247 Checking Install for Package DENT1.247 Install Questions for DENT1.247 Incoming Files: 228.1 DENTAL HISTORY (Partial Definition) Note: You already have the 'DENTAL HISTORY' File. to how DRM Plus and other applications are launched from the CPRS 228.6 DENTAL TP NOTES (Partial Definition) Note: You already have the 'DENTAL TP NOTES' File. Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES// NO Want KIDS to INHIBIT LOGONs during the install? YES// NO Want to DISABLE Scheduled Options, Menu Options, and Protocols? YES// NO Enter the Device you want to print the Install messages. Tools menu. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// Install Started for DENT1.247 : Aug 02, 2006@14:22:53 Build Distribution Date: Aug 02, 2006 Installing Routines: Aug 02, 2006@14:22:54 Running Post-Install Routine: POST^DENTV047 >>>>> Patch 47 post-install successfully queued, task# 1415758 <<<<< >>>>> Changed D6056 to Coping for DRM Plus graphics <<<<< G. There are 4 new reports in DRM Plus. The Patient Visit List shows a >>>>> DENTV DRM NO VISIT CREATE param updated <<<<< >>>>> DENTV DRM DUPCHECK OFF param updated <<<<< >>>>> DENTV DRM DEF STARTUP TAB params updated <<<<< Updating Routine file... Updating KIDS files... list of visits for a selected patient (does not have to be the DENT1.247 Installed. Aug 02, 2006@14:22:56 Install Message sent #161030 current patient). The Planned Items List contains the same data as residents file data to PCE, processing for potential duplicates between the Provider Planning report, but the columns are sortable and can be subtotaled. The Active Patients by Provider report shows a list of all dental patients, by provider whose last encounter was active. The Unfiled Data by Provider report shows a list of all patient's for which the provider has saved temporary "unfiled" data. H. Users may be prompted to complete the episode of care if they are filing data and there are no remaining planned items for the patient and the status is Active. planned and completed care and a new cover page with demographic and I. Dental Administrators may set a new parameter to not allow creation of PCE visits "on the fly". This means that the user must select an existing visit or scheduled appointment from the list before filing dental data. J. Small buttons were added to ADA Codes box and Multi-add box which allows it to be moved to the other side of the mouth to view the graphics beneath. K. Missing teeth will be visually indicated in the multi-tooth selection recent dental activity data. box by changing the buttons for missing teeth to white text on blue background. The missing teeth may still be selected if needed for the procedure code (e.g. implants, etc). L. Allow edit of unfiled H&N items. Do not add new items if the current item is unfiled. This allows a user to modify the H&N text in the same session, rather than creating additional detail records. M. Display H&N progress records on primary grid. Add column containing "Initial" or "Progress". This allows the user to view all H&N entries on the primary screen. FIXES TO THE DRM Plus APPLICATION ======================================================================= 1. Head and Neck data will be filed to the correct provider when the user files all data to another provider. 2. The warning message that a Location must be entered has been removed for most cases. Location is required on the second page of DRM Plus The patch installation process should take be less than 2 minutes. anyway, it did not need to be forced at application runtime. 3. The VA Intranet Website location has been updated. This site contains information for VA dental users, including updates to DRM Plus user manuals. 4. Test patients and "extra" partial transactions will not appear in the DRM Plus extract. 5. If an Additional Signer is entered for one patient, and a note is 52 SEQ #49 DATE APPLIED: 2007-06-27 22:11:03 APPLIED BY: USER,ONE 50 SEQ #50 ;Created on Mar 21, 2007@13:58:45 DATE APPLIED: 2009-04-21 10:17:15 APPLIED BY: USER,SEVENTEEN 53 SEQ #51 ;Created on Oct 23, 2007@11:48:24 DATE APPLIED: 2009-04-21 10:32:22 APPLIED BY: USER,SEVENTEEN 54 SEQ #52 DATE APPLIED: 2011-01-27 09:12:58 APPLIED BY: USER,SEVENTEEN 56 SEQ #53 DATE APPLIED: 2009-04-23 12:37:08 APPLIED BY: USER,SEVENTEEN 55 SEQ #54 ;Created on Oct 30, 2008@11:01:03 DATE APPLIED: 2009-04-23 12:38:06 APPLIED BY: USER,SEVENTEEN DESCRIPTION: General Information An undefined error was discovered in Clarksberg where the variable DFN (Patient IEN was undefined),and the variable VAIP("D") was not set to a date (FM format) from the .01 field of file #9000010. Routine DENTVTP2 was revised appropriately. (T-5 build revisions) Recent Dental Activity on GUI Cover Page not filing last known dates correctly. Pointer set to a date instead of an ien. Now points to the ien.age ======================================================================= There is no NSR associated with this patch. This patch addresses the following Remedy Ticket(s): ---------------------------------------------------- Oklahoma City HD242867 - The current perio chart is not being brought into the signature page. The following is a list of files included in this patch: This patch contains fixes and enhancements to Dental Record Manager UP SEND DATA DATE SEC. COMES SITE RSLV FILE # NAME DD CODE W/FILE DATA PTS -------------------------------------------------------------------- 228.8 DENTAL CODING CHECKS YES YES YES OVER NO The following is a list of fields included in this patch: Field Name (Number) File Name (Number) Plus primarily in the area of note generation and the Cover page plus ------------------- ------------------ PRIMARY FEE PROVIDER (.11) DENTAL PATIENT (220) SECONDARY FEE PROVIDER (.12) DENTAL PATIENT (220) Below is a list of the files related to this patch that will be needed and available via the FTP sites listed above. File Description File Name FTP Mode ----------------------------------------------------------------------- Dental ZIP file w/ patch Dent_1_2p55.zip (binary) an easy to recognize flag when a patient has a pending consult. VA The Dent_1_2p55.zip file contains the following files: File Name Description ------------------ ------------------------------------------------- Dent_1_2p55.kid KIDS file to install one KIDS Builds: DENT1.255 Dent_1_2p55_ig.pdf Dent1.255 installation guide Dent_1_2p55_rn.pdf Dent1.255 release notes dentalmrmtx.exe DRM Plus V5.5.0.2 executable P55 QuickStart Guide.pdf Guide for dental users with patch changes requirements to default Combat Veteran status if appropriate and to change the service connected EC flag to SWAC have been included. (T-4 build revisions) 57 SEQ #55 DATE APPLIED: 2009-10-13 16:36:18 APPLIED BY: USER,SEVENTEEN 58 SEQ #56 DATE APPLIED: 2010-02-04 11:16:50 APPLIED BY: USER,SEVENTEEN 60 SEQ #57 DATE APPLIED: 2010-11-03 15:47:33 APPLIED BY: USER,SEVENTEEN 23 SEQ #22 DATE APPLIED: 1997-11-18 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Patch 15 should be installed before patch 23. An undefined error of the variable DA occurs when the user tries to ROUTINE MODIFIED: DENTDML, DENTDNJ, DENTDNJ1, DENTDNJ2, DENTDNK, and DENTDNQ OPTIONS: Treatment Data Enter/Edit (Full Screen) [DENTTREAT EDIT] Class I-VI (type 3) Admin Info Enter/Edit [DENTADM EDIT] Personnel Info (type 4) Enter/Edit [DENTPERS EDIT] delete the whole treatment data entry during the re-edit process in Applications and Dental Fee (type 5) Enter/Edit [DENTFEE EDIT] FILES: DENTAL TREATMENT (AMIS) (#221) FIELD: STATION.DIVISION (#.3) DENTAL FEE BASIS (AMIS) (#222) FIELD: STATION.DIVISION (#.3) DENTAL CLASS I-VI (AMIS) (#223) FIELD: STATION.DIVISION (#.3) DENTAL PERSONNEL (AMIS) (#224) FIELD: STATION.DIVISION (#.3) The COMMANDS, displayed at the bottom of the screen, does not get re-displayed after the user enters in a "?", "@", or data in any field the option Treatment Data Enter/Edit (Line By Line) [DENTTREAT LINE while using any one of the options mentioned above. The routines listed above was modified to fix this. Fields #.3, STATION.DIVISION, in files #221, 222, 223, and 224 was modified to fix this. TEST SITES ========== Bronx, NY Togus, ME EDIT]. The following is a sample screen capture reproducing the ROUTINE SUMMARY =============== The following is a list of the routines included in this patch. The second line of each of these routines now looks like: <tab>;;1.2;DENTAL;[PATCH LIST];Oct 08, 1992 CHECK^XTSUMBLD results error: Routine Name Before Patch After Patch Patch List ------------ ------------ ----------- ---------- DENTDML 8337833 8642179 15,23 DENTDNJ 12975627 13031174 15,23 DENTDNJ1 11752108 11992713 15,23 DENTDNJ2 8570663 8654282 15,23 DENTDNK 4344731 4698084 15,23 DENTDNQ 9982353 9333763 15,23 DENTEC 11806503 11894141 23 GENERAL INFORMATION =================== This patch should be installed into your production UCI. It can be installed at anytime. Install time is less than 10 minutes. This patch has 1 other patch dependency, patch 15. No options need to be disabled. Users do not need to be logged off the system. If there are any questions, your supporting CIOFO Customer Service Clinical 1 team will address them. Select Dental Activity Option: 3 Treatment Data Enter/Edit (Line By This Patch is created with Kernel V8 KIDS. Follow these instructions: 1) Use Packman option 'INSTALL/CHECK MESSAGE' to load the KIDS build onto your system. 2) On the KIDS menu, under the 'Installation' menu, use the option 'Verify Checksum in Transport Global' and verify that all routines have the correct checksums. 3) From the 'Installation' Menu of KIDS, use the option 'Install Package(s)'. Select the package 'DENT1.223' and proceed with install. Line) 4) If you are a MSM site move the routines to the other servers. 5) On a mapped system, rebuild your map set. You may select a treatment date by entering the patient's name or SSN, the provider's number or the treatment date (without time). Select DENTAL TREATMENT (AMIS) DATE: N OCT 17, 1997@11:14:06 Are you adding 'OCT 17, 1997@11:14:06' as a new DENTAL TREATMENT (AMIS) (the 123RD)? Y (Yes) DENTAL TREATMENT (AMIS) STATION.DIVISION: 578 DENTAL TREATMENT (AMIS) DENTAL PROVIDER: DUCK,DONALD 2345 DATE: OCT 17,1997@11:14:06// STATION.DIVISION: 578// DENTAL PROVIDER: DUCK,DONALD// DENTAL PATIENT: TEST This patch will fix the following: 1 TEST,ADMITC 01-23-34 324567890 SC VETERAN 2 TEST,ADMITF 12-01-40 224345697 SC VETERAN 3 TEST,AGAIN 12-01-55 223128901 SC VETERAN CHOOSE 1-3: 1 TEST,ADMITC 01-23-34 324567890 SC VETERAN ...OK? Yes// (Yes) PATIENT CATEGORY: 22 PRIORITY 3 (OPT) BED SECTION: 1 MEDICAL SCREENING/COMPLETE EXAM: S SCREENING EVALUATION: 1 EVALUATION COMPLETIONS/TERMINATIONS: C COMPLETION X-RAYS EXTRAORAL #: EXTRACTIONS #: SURGICAL EXTRACTIONS #: OTHER SIGNIFICANT TREAT (CTV): BIOPSY/SMEAR #: FRACTURE #: OTHER SIGNIF. SURG. (CTV) : X-RAYS INTRAORAL #: INTERDISCIPLINARY CONSULT: 1) NOIS BRX-0897-11424 DENTEC+2 DENTEC UNDEF ERROR OPERATING ROOM: NEOPLASM CONFIRMED MALIGNANT #: NEOPLASM REMOVED #: SPLINTS & SPEC. PROCS. (CTV) : ADMIN PROCEDURE: PATIENT ED. (CTV): 3 INDIVIDUAL PROSTHETIC REPAIR #: PERIODONTAL QUADS (SURGICAL) #: PROPHY NATURAL DENTITION: 1 YES PROPHY DENTURE: 1 YES SURFACES RESTORED #: INDIVIDUAL CROWNS #: COMPLETE DENTURES #: PERIO QUADS (ROOT PLANE) #: POST & CORES #: FIXED PARTIALS (ABUT) #: FIXED PARTIALS (PONT ONLY) # : REMOVABLE PARTIALS #: ROOT CANAL THERAPY #: PRE AUTH/2ND OPINION EXAM: ROUTINE MODIFIED: DENTEC SPOT CHECK EXAM: 1 STAFF SPOT CHECK DISCREPANCY #: 1 ERROR-- Bed section must be blank if patient category is OPT, NHC or DOM. ERROR-- Patient category must be Class I-VI (9-17) for spot check/pre-auth exam. ERROR-- Patient category and type of service code are incompatible. ERROR-- You are not allowed to mark both the screening/complete and evaluation fields. ERROR-- Patient education must be blank if prophy is marked. You must correct the above error(s) before continuing. Press return when you are ready to re-edit this treatment data entry. DATE: OCT 17,1997@11:14:06// @ SURE YOU WANT TO DELETE THE ENTIRE DENTAL TREATMENT (AMIS)? Y (Yes) %DSM-E-UNDEF, undefined variable DA OPTION: Treatment Data Enter/Edit (Line By Line) [DENTTREAT LINE EDIT] -DSM-I-ECODE, MUMPS error code: M6 %DSM-I-ATLABEL, DENTEC+2^DENTEC:1 G:'$D(^DENT(221,DA,0)) EXIT1 S G=^DENT(221,DA,0),X=$P(G,"^",19),E="",M="ERROR-- " > Routine DENTEC is modified to fix this error. 2) NOIS TOG-0897-11099 DATA ENTRY SCREEN NOT REPAINTING 61 SEQ #58 DATE APPLIED: 2011-06-01 16:12:36 APPLIED BY: USER,SEVENTEEN 62 SEQ #59 DATE APPLIED: 2012-02-27 11:03:28 APPLIED BY: USER,SEVENTEEN 59 SEQ #60 DATE APPLIED: 2012-08-29 12:01:38 APPLIED BY: USER,SEVENTEEN 64 SEQ #61 DATE APPLIED: 2013-03-18 14:09:56 APPLIED BY: USER,SEVENTEEN 63 SEQ #62 DATE APPLIED: 2013-07-23 17:21:18 APPLIED BY: USER,SEVENTEEN 65 SEQ #63 DATE APPLIED: 2014-02-10 14:31:13 APPLIED BY: USER,SEVENTEEN 67 SEQ #64 DATE APPLIED: 2015-02-26 09:48:07 APPLIED BY: USER,SEVENTEEN 66 SEQ #65 DATE APPLIED: 2015-08-12 12:36:38 APPLIED BY: USER,SEVENTEEN 68 DATE APPLIED: 2015-12-01 17:50:08 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: 2016 ADA Code Update 70 SEQ #67 DATE APPLIED: 2016-11-18 17:21:12 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: This is the yearly Lexicon release for 2017. 24 SEQ #23 DATE APPLIED: 1998-03-18 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Refer to the patch for the patch description. 71 SEQ #68 DATE APPLIED: 2018-01-02 16:44:25 APPLIED BY: USER,FIFTYFOUR DESCRIPTION: The purpose of this patch is to update the DENTAL RECORD MANAGER CPT a post-installation routine to perform the updates and notification. This patch requires DENT1.270 to be installed. This patch requires LEX2.0113 to be installed. CODE MAPPING (#228) file to comply with the changes introduced for Fiscal Year (FY) 18, Quarter (Q) 1. The patch also updates Coding Standards as approved by the Office of Dentistry. A Mailman message will be sent to DENTV ADA CODE MAPPING mail group to identify new and modified ADA/CPT codes at the site. The patch contains 69 SEQ #69 DATE APPLIED: 2018-06-01 15:06:16 APPLIED BY: USER,FIFTYFOUR 73 SEQ #71 DATE APPLIED: 2019-04-01 15:13:16 APPLIED BY: USER,FIFTYFOUR 75 SEQ #73 DATE APPLIED: 2020-01-22 15:28:42 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: This release is for the annual CPT code release for 2020. 77 SEQ #74 DATE APPLIED: 2020-06-23 18:16:30 APPLIED BY: USER,SIXTYFIVE DESCRIPTION: The purpose of this patch is to include functionality to return a dental patient as "inactive" if the patient has a date of death set. Additionally, a message revision was made to the D9630 coding check as well as a change to the RVU value of the 94760 Dental CPT code. 79 SEQ #76 DATE APPLIED: 2020-12-18 15:28:30 APPLIED BY: USER,SEVENTEEN DESCRIPTION: This release is for the annual CPT code release for 2021. 84 SEQ #78 DATE APPLIED: 2022-03-21 18:57:33 APPLIED BY: USER,EIGHTYSIX DESCRIPTION: This release is for the annual CPT code release for 2022. 87 SEQ #80 DATE APPLIED: 2022-12-27 11:28:27 APPLIED BY: USER,NINETY 86 SEQ #81 DATE APPLIED: 2023-05-09 17:38:09 APPLIED BY: USER,EIGHTYNINE 89 SEQ #83 DATE APPLIED: 2023-12-15 13:21:35 APPLIED BY: USER,EIGHTYNINE 25 SEQ #24 DATE APPLIED: 1999-02-23 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This is patch 25 of Dental. 26 SEQ #25 DATE APPLIED: 1999-03-16 00:00:00 APPLIED BY: USER,ONE 27 SEQ #26 DATE APPLIED: 1999-06-28 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: Refer to patch description. 28 SEQ #27 DATE APPLIED: 1999-10-07 00:00:00 APPLIED BY: USER,ONE DESCRIPTION: This is patch 28 of Dental version 1.2. DATE INSTALLED AT THIS SITE: 2003-11-07 00:00:00 INSTALLED BY: USER,ONE DESCRIPTION OF ENHANCEMENTS: This build contains two KIDS builds: DENT1.231 and DSIC 1.2
DESCRIPTION	The Dental package captures data on all sittings (Dental treatments) The package also provides support for developing a treatment plan for individual patients by determining the number of appointments needed for each type of care to be provided and which appointments can be scheduled concurrently or must be scheduled consecutively. In addition to the AMIS reports, there is also a report to determine which inpatients need a dental exam and one to print out sittings/visits for one or all providers. performed in the Dental Service. It also captures data on Dental fee There is a separate menu for the managers of the Dental package which allows them to set up basic files, delete erroneous entries and re-release data to Austin that was rejected due to an error. basis patients, applications for care and on days worked by Dental Service personnel and the amount of time spent in clinical and non clinical activities. The package generates all required Dental AMIS reports and is capable of transmitting the data to Austin, Texas through the VADATS electronic network using Network Mailman or by magnetic tape.
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DENTAL (96) PACKAGE (9.4)