Name	Value
NAME	SR3.0125
DATE DISTRIBUTED	2004-08-09 00:00:00
PACKAGE FILE LINK	SURGERY
REQUIRED BUILD	SR3.0101 ACTION: Don't install, leave global SR3.0116 ACTION: Don't install, leave global SR3.0100 ACTION: Don't install, leave global SR3.0129 ACTION: Don't install, leave global
TYPE	SINGLE PACKAGE
DESCRIPTION OF ENHANCEMENTS	***************************** N O T E ******************************** VA's NSQIP module more in line with the data collected in the private sector. This patch also include updates to the Continuous Improvement in Cardiac Surgery Program (CICSP) module. Modifications to the Surgery V. 3.0 software include: - the addition of 22 new fields to SURGERY file (#130) - the update of approximately 120 field descriptions for NSQIP and CICSP data elements in the SURGERY file (#130) - the update of data input screens to allow the input of additional data elements as well as to delete some data elements no longer There is no conflict between this patch and the CoreFLS software. needed - the addition of two new data input options, Laboratory Test Results (Enter/Edit) [SROA LAB-CARDIAC] and Outcome Information (Enter/Edit) [SROA CARDIAC-OUTCOMES], on the Cardiac Risk Assessment Information (Enter/Edit) [SROA CARDIAC ENTER/EDIT] menu - the removal of the option Update Operations as Unrelated/Related to Death [SRO DEATH RELATED] from Surgery Risk Assessment Menu [SROA RISK ASSESSMENT] - the update of assessment transmissions to reflect the current set of NSQIP and CICSP data elements Installation of this patch by the CoreFLS sites will not cause any - the update of occurrence categories in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5) 2. This patch will enhance the lookup by case/assessment number feature introduced in patch SR3121. Within the Surgery Risk Assessment Menu [SROA RISK ASSESSMENT] option, at the "Select Patient" prompt, lookup by case/assessment number is allowed by entering the case number preceded by #, e.g., enter #6785 to go to case #6785. problems. ************************************************************************** 1. This patch updates the Surgery Risk Assessment software of the VISTA Surgery V. 3.0 application as requested by the National Surgical Quality Improvement Program (NSQIP) Executive Committee to bring the
TRACK PACKAGE NATIONALLY	YES
FILE	DD NUMBER: SURGERY (File-top level) FIELD NUMBER: IN/OUT-PATIENT STATUS MAJOR/MINOR CASE SCHEDULE TYPE SURGERY SPECIALTY TIME PAT IN OR ANES CARE START TIME TIME OPERATION BEGAN TIME OPERATION ENDS TIME PAT OUT OR ANES CARE END TIME WOUND CLASSIFICATION ASA CLASS PAC(U) DISCH TIME REASON FOR NO ASSESSMENT CURRENT SMOKER PACK/YEARS HISTORY OF COPD VENTILATOR DEPENDENT HYPERTENSION REQUIRING MEDS CARDIOMEGALY CURRENTLY ON DIALYSIS ASCITES ESOPHAGEAL VARICES PGY OF PRIMARY SURGEON WEIGHT LOSS > 10% BLEEDING DISORDERS TRANSFUSION > 4 RBC UNITS OPEN WOUND PREOPERATIVE SEPSIS PREOPERATIVE HEMOGLOBIN PREVIOUS PTCA PROCEDURE PREOPERATIVE SERUM CREATININE PREOPERATIVE SERUM ALBUMIN HEIGHT WEIGHT DNR STATUS FUNCTIONAL HEALTH STATUS ETOH > 2 DRINKS/DAY LENGTH OF POST-OP STAY SUPERFICIAL INCISIONAL SSI DEEP INCISIONAL SSI SYSTEMIC SEPSIS PNEUMONIA PULMONARY EMBOLISM OTHER RESPIRATORY OCCURRENCE ACUTE RENAL FAILURE URINARY TRACT INFECTION STROKE/CVA POSTOP BLEEDING/TRANSFUSIONS MYOCARDIAL INFARCTION PRINCIPAL PROCEDURE GRAFT/PROSTHESIS/FLAP FAILURE RETURN TO OR WITHIN 30 DAYS DVT/THROMBOPHLEBITIS PREVIOUS CARDIAC SURGERY PRINCIPAL PROCEDURE CODE ON VENTILATOR >48 HOURS OTHER URINARY TRACT OCCURRENCE PERIPHERAL NERVE INJURY DYSPNEA CURRENT PNEUMONIA RENAL FAILURE REVASCULARIZATION/AMPUTATION REST PAIN/GANGRENE (Y/N) IMPAIRED SENSORIUM COMA HISTORY OF TIA'S CVA/STROKE WITH NEURO DEFICIT CVA/STROKE - NO NEURO DEFICIT DISSEMINATED CANCER (Y/N) CHEMOTHERAPY IN LAST 30 DAYS RADIOTHERAPY IN LAST 90 DAYS STEROID USE FOR CHRONIC COND. INTRAOP RBC UNITS TRANSFUSED OTHER CNS OCCURRENCE OTHER CARDIAC OCCURRENCE DIABETES FEV1 PULMONARY RALES ACTIVE ENDOCARDITIS CONCURRENT CASE PCI NUM OF PRIOR HEART SURGERIES LVEDP AORTIC SYSTOLIC PRESSURE PA SYSTOLIC PRESSURE PAW MEAN PRESSURE LEFT MAIN STENOSIS LAD STENOSIS RIGHT CORONARY STENOSIS CIRCUMFLEX STENOSIS LV CONTRACTION SCORE AORTIC VALVE REPLACEMENT MITRAL VALVE REPLACEMENT VALVE REPAIR GREAT VESSEL REPAIR (REQ CPB) CARDIAC TRANSPLANT OTHER TUMOR RESECTION OTHER CARDIAC PROCEDURES PERIOPERATIVE MI ENDOCARDITIS MEDIASTINITIS REOPERATION FOR BLEEDING STROKE REPEAT CARDIAC SURG PROCEDURE OTHER OCCURRENCES (ICD9) HISTORY OF MI ANGINA ONE MONTH PRIOR CHF WITHIN ONE MONTH QUADRIPLEGIA (Y/N) PARAPLEGIA (Y/N) HEMIPLEGIA/HEMIPARESIS (Y/N) TUMOR INVOLVING CNS (Y/N) WOUND DISRUPTION RENAL INSUFFICIENCY COMA > 24 HOURS POSTOP CARDIAC ARREST REQ CPR UNPLANNED INTUBATION (Y/N) TRANSFER STATUS CARDIAC SURGICAL PRIORITY MITRAL REGURGITATION NUMBER WITH OTHER CONDUIT HOSPITAL ADMISSION DATE HOSPITAL DISCHARGE DATE ADMISSION/TRANSFER DATE DISCHARGE/TRANSFER DATE OBSERVATION ADMISSION DATE OBSERVATION DISCHARGE DATE OBSERVATION TREATING SPECIALTY HDL (CARDIAC) HDL, DATE SERUM TRIGLYCERIDE (CARDIAC) SERUM TRIGLYCERIDE, DATE (CAR) SERUM POTASSIUM (CARDIAC) SERUM POTASSIUM, DATE(CARDIAC) SERUM BILIRUBIN (CARDIAC) SERUM BILIRUBIN, DATE (CARD) LDL (CARDIAC) LDL, DATE (CARDIAC) TOTAL CHOLESTEROL (CARDIAC) TOTAL CHOLESTEROL, DATE HYPERTENSION TRACHEOSTOMY NEW MECHANICAL CIRCULATORY CONVERT FROM OFF PUMP TO CPB D/T PATIENT EXTUBATED D/T PATIENT DISCH FROM ICU CARDIAC SURG PERFORMED NON-VA HOMELESS PREOP CIRCULATORY DEVICE DIABETES (CARDIAC) PROCEDURE TYPE AORTIC STENOSIS RE-DO LAD STENOSIS RE-DO RT CORONARY STENOSIS RE-DO CIRCUMFLEX STENOSIS BRIDGE TO TRANSPLANT/DEVICE MAZE PROCEDURE TMR OTHER CT PROCEDURE PRIOR HEART SURGERIES GASTROINTESTINAL (Y/N) PREOPERATIVE INR PREOPERATIVE INR, DATE ORGAN/SPACE SSI OTHER WOUND OCCURRENCE REPEAT VENTILATOR W/IN 30 DAYS OTHER NON-CT PROCEDURES PRE-ILLNESS FUNCTIONAL STATUS PRIN DIAGNOSIS CODE MALLAMPATI SCALE ANESTHESIA TECHNIQUE (sub-file) FIELD NUMBER: PRINCIPAL TECH TRAUMA OTHER PROCEDURES (sub-file) FIELD NUMBER: OTHER PROCEDURE POSTOP OCCURRENCE (sub-file) FIELD NUMBER: SEPSIS CATEGORY CPB STATUS UPDATE THE DATA DICTIONARY: YES SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: PARTIAL DATA COMES WITH FILE: NO MAY USER OVERRIDE DATA UPDATE: NO UPDATE THE DATA DICTIONARY: NO SEND SECURITY CODE: YES SEND FULL OR PARTIAL DD: FULL RESOLVE POINTERS: NO DATA COMES WITH FILE: YES SITE'S DATA: OVERWRITE MAY USER OVERRIDE DATA UPDATE: NO
BUILD COMPONENTS	ENTRIES: SRO-NOCOMP FILE #130 FILE: SURGERY ACTION: SEND TO SITE ENTRIES: SROA LAB-CARDIAC ACTION: SEND TO SITE SROA TRANSMITTED IN ERROR ACTION: SEND TO SITE SROA ASSESSMENT LIST ACTION: SEND TO SITE SROA REPRINT LETTERS ACTION: SEND TO SITE SR NO ASSESSMENT REASON ACTION: SEND TO SITE SROA MONTHLY WORKLOAD REPORT ACTION: SEND TO SITE SRO M&M VERIFICATION REPORT ACTION: SEND TO SITE SROA ONE-LINER UPDATE ACTION: SEND TO SITE SROA TRANSMIT ASSESSMENTS ACTION: SEND TO SITE SROA CATHETERIZATION ACTION: SEND TO SITE SROA CARDIAC OPERATIVE RISK ACTION: SEND TO SITE SROA CARDIAC ENTER/EDIT ACTION: SEND TO SITE SROA CLINICAL INFORMATION ACTION: SEND TO SITE SROA CARDIAC RESOURCE ACTION: SEND TO SITE SROA COMPLETE ASSESSMENT ACTION: SEND TO SITE SROA CARDIAC-OUTCOMES ACTION: SEND TO SITE SROA CARDIAC PROCEDURES ACTION: SEND TO SITE SRO INTRAOP COMP ACTION: SEND TO SITE SRO POSTOP COMP ACTION: SEND TO SITE SROA RISK ASSESSMENT ACTION: SEND TO SITE SROA ENTER/EDIT ACTION: USE AS LINK FOR MENU/ITEM/SUBSCRIBERS SROA PRINT ASSESSMENT ACTION: SEND TO SITE ENTRIES: SROACAR ACTION: SEND TO SITE CHECKSUM: B10066425 SROACR2 ACTION: SEND TO SITE CHECKSUM: B18870197 SROACTH1 ACTION: SEND TO SITE CHECKSUM: B14856446 SROACAT ACTION: SEND TO SITE CHECKSUM: B8662920 SROACPM1 ACTION: SEND TO SITE CHECKSUM: B13730377 SROACAR1 ACTION: SEND TO SITE CHECKSUM: B8943612 SROAPCA ACTION: SEND TO SITE CHECKSUM: B25030781 SROAPCA2 ACTION: SEND TO SITE CHECKSUM: B20501034 SROAPCA1 ACTION: SEND TO SITE CHECKSUM: B30586056 SROAPCA3 ACTION: SEND TO SITE CHECKSUM: B20448711 SROAPCA4 ACTION: SEND TO SITE CHECKSUM: B14056741 SROACL1 ACTION: SEND TO SITE CHECKSUM: B19221450 SRORACE ACTION: SEND TO SITE CHECKSUM: B5400028 SROATCM ACTION: SEND TO SITE CHECKSUM: B25457402 SROACPM2 ACTION: SEND TO SITE CHECKSUM: B5317991 SROATCM1 ACTION: SEND TO SITE CHECKSUM: B50862159 SROAUTLC ACTION: SEND TO SITE CHECKSUM: B27254291 SROPSEL ACTION: SEND TO SITE CHECKSUM: B2165512 SRONASS ACTION: SEND TO SITE CHECKSUM: B17561537 SRO1L ACTION: SEND TO SITE CHECKSUM: B15261949 SROACOM ACTION: SEND TO SITE CHECKSUM: B20197638 SROATCM3 ACTION: SEND TO SITE CHECKSUM: B11616921 SROACLN ACTION: SEND TO SITE CHECKSUM: B10131478 SROAUTL4 ACTION: SEND TO SITE CHECKSUM: B38454869 SROCL1 ACTION: SEND TO SITE CHECKSUM: B10392468 SROCLAB ACTION: SEND TO SITE CHECKSUM: B3973659 SROAOUT ACTION: SEND TO SITE CHECKSUM: B9277736 SROUTC ACTION: SEND TO SITE CHECKSUM: B17059560 SROACL2 ACTION: SEND TO SITE CHECKSUM: B3434728 SROACOP ACTION: SEND TO SITE CHECKSUM: B20581214 SROAL1 ACTION: SEND TO SITE CHECKSUM: B21156803 SROAL11 ACTION: SEND TO SITE CHECKSUM: B16645671 SROAL2 ACTION: SEND TO SITE CHECKSUM: B18847403 SROACPM ACTION: SEND TO SITE CHECKSUM: B40217929 SROALDP ACTION: SEND TO SITE CHECKSUM: B3823974 SROALEN ACTION: SEND TO SITE CHECKSUM: B11768487 SROALN1 ACTION: SEND TO SITE CHECKSUM: B7744706 SROAOP ACTION: SEND TO SITE CHECKSUM: B19509780 SROAOP1 ACTION: SEND TO SITE CHECKSUM: B11423399 SROAOP2 ACTION: SEND TO SITE CHECKSUM: B11756977 SROAPAS ACTION: SEND TO SITE CHECKSUM: B27479579 SROAPR1A ACTION: SEND TO SITE CHECKSUM: B6217869 SROAPR2 ACTION: SEND TO SITE CHECKSUM: B9482991 SROAPRE ACTION: SEND TO SITE CHECKSUM: B18999361 SROACR1 ACTION: SEND TO SITE CHECKSUM: B21202350 SROAPRE1 ACTION: SEND TO SITE CHECKSUM: B11842955 SROAPRE2 ACTION: SEND TO SITE CHECKSUM: B8368374 SROAPRT1 ACTION: SEND TO SITE CHECKSUM: B15019125 SROAPRT2 ACTION: SEND TO SITE CHECKSUM: B11069238 SROAPRT3 ACTION: SEND TO SITE CHECKSUM: B15749642 SROAPRT4 ACTION: SEND TO SITE CHECKSUM: B5327392 SROAPS1 ACTION: SEND TO SITE CHECKSUM: B16884597 SROAPS2 ACTION: SEND TO SITE CHECKSUM: B12184598 SROAUTL ACTION: SEND TO SITE CHECKSUM: B37784249 SROAUTL0 ACTION: SEND TO SITE CHECKSUM: B23028000 SROACTH ACTION: SEND TO SITE CHECKSUM: B7802049 SROAUTL1 ACTION: SEND TO SITE CHECKSUM: B18184832 SROAUTL2 ACTION: SEND TO SITE CHECKSUM: B27226324 SROCMPED ACTION: SEND TO SITE CHECKSUM: B34799560 SROCMPS ACTION: SEND TO SITE CHECKSUM: B16971881 SROAPM ACTION: SEND TO SITE CHECKSUM: B40194294 SROAPRT7 ACTION: SEND TO SITE CHECKSUM: B28886605 SROAMEAS ACTION: SEND TO SITE CHECKSUM: B341409 SROATM1 ACTION: SEND TO SITE CHECKSUM: B23076488 SROATM2 ACTION: SEND TO SITE CHECKSUM: B32533830 SROATMNO ACTION: SEND TO SITE CHECKSUM: B25194831 SROATM4 ACTION: SEND TO SITE CHECKSUM: B8977211 SROATCM2 ACTION: SEND TO SITE CHECKSUM: B9160554 SROARET ACTION: SEND TO SITE CHECKSUM: B20166421 SROAL21 ACTION: SEND TO SITE CHECKSUM: B8949324 SROAPIMS ACTION: SEND TO SITE CHECKSUM: B25157817
PRE-INSTALL ROUTINE	PRE^SR125UTL
DELETE PRE-INIT ROUTINE	Yes

SR*3.0*125 (5685) BUILD (9.6)

SR3.0125 (5685) BUILD (9.6)