| DESCRIPTION OF ENHANCEMENTS |
In support of the VA Surgery Quality Improvement Program (VASQIP), this
a. Surgery cancellation functionality is modified so that any surgery
References to ICD9 are replaced with ICD in the following menu
options:
- CPT/ICD9 Coding Menu [SRCODING MENU]
- CPT/ICD9 Update/Verify Menu [SRCODING UPDATE/VERIFY MENU]
- Update/verify Procedure/Diagnosis Codes [SRCODING EDIT]
9. Remove Quarterly Report References
a. References to "Quarterly Report" are removed from the Deaths Within
30 Days of Surgery [SROQD] option.
case that is placed on the surgery schedule and then cancelled will
b. The routines that provided the Surgery Quarterly Report
functionality are removed. Those routines are SROQ1, SROQ1A, SROQ2,
SROQM, SROQM0, SROQM1 and SROQT.
10. Add Superficial Incisional SSI to Cardiac Outcomes
The SUPERFICIAL INCISIONAL SSI field (#248) in the SURGERY file
(#130) is added to the Outcome Information (Enter/Edit) [SROA
CARDIAC-OUTCOMES] option, the cardiac assessment transmission and to
the cardiac assessment printout.
be retained in the SURGERY file (#130) as a cancelled case
11. The following routines associated with obsolete functionality are
removed: SROAC, SROAC1, SROAC2, SROACCR, SROACRC, SROACS, SROASWAP,
SROASWP, SROASWP0, SROASWP1, SROASWP2, SROAWSP3, SROASWPD, SRSLOOK,
and SRSLOOK1.
12. This patch fixes the issue reported by Remedy ticket #528445, where
the PREOPERATIVE IMAGES CONFIRMED field (#606) displays the same data
as MARKED SITE CONFIRMED field (#605).
13. This patch updates the CPT EXCLUSIONS file (#137) with data for
regardless of when the case is cancelled. Also, a cancellation
fiscal year 2012.
reason is required for every cancellation. Any scheduled case that
is cancelled will be counted as a cancellation on the Report of
Cancellations generated by the Report of Cancellations [SROCAN]
option.
b. The Report of Cancellations, generated by the Report of
patch provides the VASQIP Increment 2 update to the Veterans Health
Cancellations [SROCAN] option, is modified to group patient data
together within specialty so that all cases for a single patient
will be shown together. The report will also order based on
operations so the same operation descriptions will show next to each
other for the same patient.
2. Miscellaneous Additions to Risk Assessment Transmissions
a. The name of the operating room as defined in the HOSPITAL LOCATION
file (#44) is added to each cardiac and non-cardiac risk assessment
transmission and to each 1-liner case transmission.
Information Systems and Technology Architecture (VistA) Surgery package.
b. The following four fields in the SURGERY file (#130) are added to
each 1-liner case transmission and to the list of items checked for
by the List of 1-Liner Cases Missing Information which is one of the
reports generated by the List of Surgery Risk Assessments [SROA
ASSESSMENT LIST] option:
- TIME OPERATION BEGAN (#.22)
- TIME OPERATION ENDS (#.23)
- TIME PAT IN OR (#.205)
- TIME PAT OUT OR (#.232)
The updates include the addition of new data fields, changes to existing
3. Positive Drug Screening
A new POSITIVE DRUG SCREENING field (#618) is added to the SURGERY
file (#130). This field is added to the Preoperative Information
(Enter/Edit)[SROA PREOP DATA] option, the Clinical Information
(Enter/Edit)[SROA CLINICAL INFORMATION] option and the Print a Surgery
Risk Assessment [SROA PRINT ASSESSMENT] option. This field is also
added to the cardiac and non-cardiac risk assessment transmissions and
is added to the list of missing items functionality.
fields, changes to data entry screens, changes to reports, changes to the
4. Consolidation of Shared Cardiac, Non-Cardiac and Transplant Fields
This patch updates various fields in the SURGERY file (#130) and in
the SURGERY TRANSPLANT ASSESSMENTS file (#139.5) as well as various
occurrence category descriptions in the PERIOPERATIVE OCCURRENCE
CATEGORY file (#136.5) so that common items share common definitions.
This patch also replaces various fields with new fields in order to
enhance and refine certain data elements that are in common with
cardiac and non-cardiac risk assessments and transplant assessments.
All the associated data input options, assessment printouts and
transmissions are updated accordingly.
Surgery Risk Assessment transmissions, and changes to transplant
The complete list of updated fields, new fields and replaced
fields is in the patch release notes.
5. Add Serial Number for Prosthesis Items
- Two new fields, LOT NUMBER (#11) and SERIAL NUMBER (#12) are
added to the PROSTHESIS INSTALLED multiple field (#.47, sub-file
#130.01) to replace the existing LOT/SERIAL NO field (#2.5). The
Operation [SROMEN-OP] option and the Nurse Intraoperative Report
[SRONRPT] option are updated to allow editing and display of these
components of the VistA Surgery application.
two new fields.
- LOT NUMBER field (#8) and SERIAL NUMBER field (#9) are added to
the PROSTHESIS file (#131.9). The Update Site Configurable Files
[SR UPDATE FILES] option is modified to allow editing of these new
fields and to disallow editing of the LOT/SERIAL NO field (#4) and
the STERILE CODE field (#3).
6. Flash Sterilization
Six new fields are added to the SURGERY file (#130) to document the
number of episodes of each type of flash sterilization that happened
for an operation:
- FLASH-CONTAMINATION (#619)
- FLASH-SPD/OR MGT ISSUE (#620)
- FLASH-EMERGENCY CASE (#621)
- FLASH-NO BETTER OPTION (#622)
- FLASH-LOANER INSTRUMENT (#623)
- FLASH-DECONTAMINATION (#624)
The Post Operation [SROMEN-POST] option and the Nurse Intraoperative
Report [SRONRPT] option are updated to allow editing and display of
1. Surgery Cancellation Modifications
these two new fields.
7. 30-Day Readmission
This patch creates a transmission report that lists inpatient
surgery cases which were followed by the patient being readmitted
within 30 days of discharge. This report is run by the Surgery
Nightly Cleanup and Updates [SRTASK-NIGHT] option and will transmit to
the VASQIP database automatically each quarter.
8. Update ICD9 to ICD
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