| DESCRIPTION OF ENHANCEMENTS |
This patch provides the annual updates to the Veterans Health Information
- The frequency of transmission of 1-liner cases is changed from the 45th
o PREOP CIRCULATORY DEVICE field (#474)
o ENDOVASCULAR REPAIR field (#505)
o D/T PATIENT DISCH FROM ICU field (#471)
- Corrections are made to the list of missing items functionality for the
following fields in the SURGERY file (#130):
o ANGINA field (#267)
o CONVERT FROM OFF PUMP TO CPB field (#469)
- TIME OPERATION BEGAN field (#.22) and TIME OPERATION ENDS field (#.23)
day past the end of the quarter to the 45th day past the end of the
are moved from the Operative Risk Summary Data (Enter/Edit) [SROA
CARDIAC OPERATIVE RISK] option to the Resource Data [SROA CARDIAC
RESOURCE] option.
- The list of missing items functionality is updated to remove deleted
variables and to include the new variables.
- The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR
DELAY field (#515) are removed from the Resource Data [SROA CARDIAC
RESOURCE] option.
month.
- Patient gender is added to the information transmitted on 1-liner cases.
- New fields added to SURGERY file (#130):
o ASSESSMENT COMPLETED BY field (#272.1)
When a non-cardiac assessment is completed, the user who completed the
assessment will be identified in this field and the name of the user
Systems and Technology Architecture (VistA) Surgery package in support of
will be transmitted with the assessment.
o PREOPERATIVE SLEEP APNEA field (#237.1)
This field is added to the Preoperative Information (Enter/Edit) [SROA
PREOP DATA] option, the assessment printout, assessment transmission
and the list of missing items functionality.
- The SURGERY CONSULT DATE field (#513) and the SURGERY CONSULT REQUESTED
field (#516) are eliminated as non-cardiac assessment variables.
- This patch updates the CPT EXCLUSIONS file (#137) with data for fiscal
the VA Surgery Quality Improvement Program (VASQIP). The updates include
year 2010.
- Field descriptions are modified in the following fields in SURGERY file
(#130):
o HEIGHT field (#236)
The description and the input transform are modified.
o WEIGHT field (#237)
The description and the input transform are modified.
o HISTORY OF COPD field (#203)
o ASCITES field (#212)
the addition of new data fields, changes to existing fields, changes to
o DISSEMINATED CANCER (Y/N) field (#338)
o INTRAOP DISSEMINATED CANCER field (#443)
o BLEEDING DISORDERS field (#216)
o OTHER PROCEDURE field (#.01 of OTHER PROCEDURES multiple field #.42)
o INTRAOPERATIVE ASCITES field (#446)
o DVT/THROMBOPHLEBITIS field (#263)
Note: The description of DVT/THROMBOPHLEBITIS in the PERIOPERATIVE
OCCURRENCE CATEGORY file (#136.5) is updated as well.
- On the Operation Information (Enter/Edit) [SROA OPERATION DATA] option:
data entry screens, changes to reports, and changes to the Surgery Risk
o When selecting item #3, CPT Codes (view only), the following note is
added to the screen:
CPT Codes should be verified. If need be, report discrepancies to
the official CPT coder for surgery.
o When selecting item #5, Concurrent Procedure, the following note is
added to the screen:
Concurrent Procedure: An additional operative procedure performed
by different surgical team (i.e., a different specialty/service)
under the same anesthetic which has a CPT code different from that
of the Principal Operative Procedure (e.g., fixation of a femur
Assessment transmissions.
fracture in a patient undergoing a laparotomy for trauma). This
field should be verified and, if need be, report discrepancies to
the official CPT coder for surgery.
- A new entry, N - NONE ASSIGNED, is added to the ASA CLASS file (#132.8).
The output transform on ASA CLASS field (#1.13) in SURGERY file (#130)
is modified to allow the display of the new entry.
- The list of missing items functionality is updated to remove deleted
variables and to include the new variables.
Cardiac Assessment Modifications:
---------------------------------
- The SURGERY CONSULT DATE field (#513) and the PRIMARY CAUSE FOR DELAY
field (#515) are eliminated as cardiac assessment variables.
- New fields added to SURGERY file (#130) as new cardiac variables:
o PREOP ATRIAL FIBRILLATION field (#509)
This field is added to the Clinical Information (Enter/Edit) [SROA
CLINICAL INFORMATION] option.
Non-Cardiac Assessment Modifications:
o PULMONARY VALVE PROCEDURE field (#493)
This field is added to the Cardiac Procedures Operative Data
(Enter/Edit) [SROA CARDIAC PROCEDURES] option.
o BNP field (#507)
This field is added to the Laboratory Test Results (Enter/Edit) [SROA
LAB-CARDIAC] option.
o BNP DATE field (#507.1)
This field is added to the Laboratory Test Results (Enter/Edit) [SROA
LAB-CARDIAC] option.
o POSTOP ATRIAL FIBRILLATION field (#448)
-------------------------------------
This field is added to the Outcome Information (Enter/Edit) [SROA
CARDIAC-OUTCOMES] option. Associated with this yes/no field is a new
entry, POSTOPERATIVE ATRIAL FIBRILLATION, in the PERIOPERATIVE
OCCURRENCE CATEGORY file (#136.5).
- The following fields in SURGERY file (#130) are modified:
o AORTIC VALVE PROCEDURE field (#367)
o MITRAL VALVE PROCEDURE field (#368)
o TRICUSPID VALVE PROCEDURE field (#369)
o FUNCTIONAL HEALTH STATUS field (#240)
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