| REQUIRED BUILD |
-
- SR*3.0*142
- ACTION: Don't install, leave global
-
- SR*3.0*113
- ACTION: Don't install, leave global
-
- SR*3.0*137
- ACTION: Don't install, leave global
-
- SR*3.0*138
- ACTION: Don't install, leave global
-
- SR*3.0*143
- ACTION: Don't install, leave global
-
- SR*3.0*147
- ACTION: Don't install, leave global
|
| DESCRIPTION OF ENHANCEMENTS |
his patch updates the Surgery Risk Assessment software of the Veterans
o Modification to some of the user entries of fields that allow text to
be entered to accept lower case or all CAPS
- The NUM OF PRIOR HEART SURGERIES field (#352) is modified to allow the
entry of lowercase letter "N" to represent "0 - NONE". Any existing
N's will be converted to '0' for NONE by he post install routine.
- The ESTIMATE OF MORTALITY field (#364) is modified to allow the entry
of lowercase letter "ns" to represent "NO STUDY".
o Modifications to the List of Surgery Risk Assessments [SROA ASSESSMENT
LIST] option
NOTE: All fields listed below are in the SURGERY file (#130) unless
- Each report is modified to display the final CPT codes from the case
coding record in the SURGERY PROCEDURE/DIAGNOSIS CODES file (#136).
- List of 1-Liner Cases Missing Information (list #8) is added.
General Surgery Items
---------------------
o The PREOP HAIR CLIPPING BY field (#.12) is renamed HAIR REMOVAL BY.
o The HAIR REMOVAL METHOD field (#506) and the HAIR REMOVAL COMMENTS
field (#508) are added to the Operation Startup [SROMEN-START] option
otherwise indicated.
and the Operation (Short Screen) [SROMEN-OUT] option. Those two fields
and the HAIR REMOVAL BY field (#.12) are added to the Nurse
Intraoperative Report and became a mandatory documentation field to
satisfy the record review process for quality measurement purposes.
Cardiac Risk Assessment Modifications
-------------------------------------
o Modifications to the Clinical Information (Enter/Edit) [SROA CLINICAL
INFORMATION] option
- The software is modified to auto-populate the HEIGHT field (#236) and
the WEIGHT field (#237) as documented in the Vitals software.
Health Information Systems and Technology Architecture (VistA)
- The Current Smoker item under this option is modified to reference to
the new CURRENT SMOKER (CARDIAC) field (#510) instead of the old field
CURRENT SMOKER field (#202), which will be utilized by the NSQIP
options.
o Modifications to the Laboratory Test Results (Enter/Edit) [SROA
LAB-CARDIAC] option
- The HEMOGLOBIN A1C field (#504) and the HEMOGLOBIN A1C, DATE field
(#504.1) are added to the list of preoperative lab results.
- The software is modified to use a date range of 1000 days prior to the
Surgery application as requested by the Executive Board of the National
date of operation when searching for the most recent preoperative lab
test result for the HDL (CARDIAC) field (#457), the LDL (CARDIAC)
field (#461), the TOTAL CHOLESTEROL (CARDIAC) field (#462), the SERUM
TRIGLYCERIDE (CARDIAC) field (#458), and the HEMOGLOBIN A1C field
(#504).
o The Enter Cardiac Catheterization & Angiographic Data [SROA CARDIAC
PROCEDURES] option is modified to allow all fields to be
auto-populated with 'NS' (NO STUDY) when 'NS' is entered in the
PROCEDURE TYPE field (#476).
Surgical Quality Improvement Program (NSQIP) and by the Cardiac Surgery
o Modifications to the Cardiac Procedures Operative Data (Enter/Edit)
[SROA CARDIAC PROCEDURES] option
- The GREAT VESSEL REPAIR (Y/N) field (#372) is moved to screen #1 under
this option as item #20.
- The ENDOVASCULAR REPAIR field (#505) is added in screen #1 as item
#21.
- The OTHER CT PROCEDURE field (#484) in the first screen is now
replaced by the OTHER CARDIAC PROCEDURES (Y/N) field (#502). If this
field value is "YES" the software will prompt the user for the OTHER
Consultants Board of the Continuous Improvement in Cardiac Surgery
CARDIAC PROCEDURES-LIST field (#484).
- The OTHER NON-CT PROCEDURES field (#491) is removed from the second
screen and a blank line is added before "Other Operative Data
details" header.
- The software is modified so that entering "N" for the VALVE REPAIR
field (#370) shall result in "5. None". The existing N's will be
converted to '5' upon patch installation.
- This option is updated to reference the new MAZE PROCEDURE field
(#512) as item 13 in the first data entry screen.
Program (CICSP). These updates include the addition of new data fields,
o A new occurrence category REPEAT VENTILATOR SUPPORT W/IN 30 DAYS is
created in the PERIOPERATIVE OCCURRENCE CATEGORY file (#136.5). This
occurrence category will be selectable only for cardiac assessed cases.
o The following fields on the Resource Data [SROA CARDIAC RESOURCE]
option are modified to assume a default of "past date" when no year is
specified:
- ESTIMATE OF MORTALITY, DATE field (#364.1)
- D/T PATIENT EXTUBATED field (#470)
- D/T PATIENT DISCH FROM ICU field (#471)
changes to existing data fields, changes to data entry screens, changes
o This patch will allow the retransmission of a cardiac risk assessment.
Non-Cardiac Assessment Modifications
------------------------------------
o Modifications to the Preoperative Information (Enter/Edit) [SROA PREOP
DATA] option
- The software is modified to auto-populate the HEIGHT field (#236) and
the WEIGHT field (#237) as documented in the Vitals software.
- The PREGNANCY field (#269) is added to the NUTRITIONAL/IMMUNE/OTHER
to reports used in Surgery Risk Assessment management process and changes
section.
o Modifications to the Laboratory Test Results (Enter/Edit) [SROA LAB]
option
- The PREOPERATIVE ANION GAP field (#444) and the PREOP ANION GAP, DATE
field (#444.1) are added to the list of preoperative lab results.
- The HIGHEST ANION GAP field (#445) and the HIGH ANION GAP, DATE field
(445.1) are added to the list of postoperative lab results.
o The Operation Information (Enter/Edit) [SROA OPERATION DATA] option is
to the Surgery Risk Assessment transmissions.
modified to add the INTRAOP DISSEMINATED CANCER field (#443).
Other Risk Assessment Modifications
-----------------------------------
o The Print a Surgery Risk Assessment [SROA Print Assessment] option is
modified to include the new data elements.
o The transmissions to the national databases are modified to include the
new fields.
|
| FILE |
-
- DD NUMBER:
-
-
- SURGERY (File-top level)
- FIELD NUMBER:
-
-
- PREOP HAIR REMOVAL BY
-
- WOUND CLASSIFICATION
-
- REASON FOR NO ASSESSMENT
-
- CURRENT SMOKER
-
- CURRENTLY ON DIALYSIS
-
- BLEEDING DISORDERS
-
- PREOPERATIVE SEPSIS
-
- PREVIOUS PCI
-
- SYSTEMIC SEPSIS
-
- ACUTE RENAL FAILURE
-
- PREVIOUS CARDIAC SURGERY
-
- PREGNANCY
-
- ON VENTILATOR >48 HOURS
-
- NUM OF PRIOR HEART SURGERIES
-
- ESTIMATE OF MORTALITY
-
- ESTIMATE OF MORTALITY, DATE
-
- VALVE REPAIR
-
- GREAT VESSEL REPAIR (Y/N)
-
- CARDIAC TRANSPLANT
-
- OPERATIVE DEATH
-
- TUMOR INVOLVING CNS (Y/N)
-
- COMA > 24 HOURS POSTOP
-
- CARDIAC ARREST REQ CPR
-
- CARDIAC RISK PREOP COMMENTS
-
- CARDIAC RESOURCE DATA COMMENTS
-
- INTRAOP DISSEMINATED CANCER
-
- PREOPERATIVE ANION GAP
-
- PREOP ANION GAP, DATE
-
- HIGHEST ANION GAP
-
- HIGH ANION GAP, DATE
-
- HDL (CARDIAC)
-
- HDL, DATE
-
- SERUM TRIGLYCERIDE (CARDIAC)
-
- SERUM TRIGLYCERIDE, DATE (CAR)
-
- LDL (CARDIAC)
-
- LDL, DATE (CARDIAC)
-
- TOTAL CHOLESTEROL (CARDIAC)
-
- TOTAL CHOLESTEROL, DATE
-
- D/T PATIENT EXTUBATED
-
- D/T PATIENT DISCH FROM ICU
-
- DIABETES (CARDIAC)
-
- AORTIC STENOSIS
-
- BRIDGE TO TRANSPLANT/DEVICE
-
- *MAZE PROCEDURE
-
- OTHER CARDIAC PROCEDURES-LIST
-
- PREOPERATIVE INR, DATE
-
- OTHER CARDIAC PROCEDURES (Y/N)
-
- HEMOGLOBIN A1C
-
- HEMOGLOBIN A1C, DATE
-
- ENDOVASCULAR REPAIR
-
- HAIR REMOVAL METHOD
-
- HAIR REMOVAL COMMENTS
-
- CURRENT SMOKER (CARDIAC)
-
- MAZE 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: YES
- 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
|
