The ICD-10 PTF Modifications team proposes new functionality within the
VistA Admission Discharge Transfer (ADT) module to allow up to 25 ICD-10
diagnosis codes in 701 and 501 transactions including 25 corresponding
Present on Admission (POA) indicators and to allow up to 25 ICD-10
procedure codes in 401 and 601 transactions.

Currently, 701 transactions allow one ICD-10 principal diagnosis with a
POA indicator and up to 13 secondary diagnoses with POA indicators for a
total of 14 ICD-10 diagnosis codes and 14 POA indicators. The 501
transactions allow 10 ICD-10 diagnoses codes with POA indicators. The 401
Surgeries and 601 Procedures transactions currently allow up to 5 ICD-10
procedure codes each.

This OE/RR patch works in conjunction with the GMTS*2.7*111 patch that is
also part of the PTF ICD-10 project. That GMTS patch modifies several
Health Summary Components (file #142.1) to now return up to 25 ICD codes
when pulling data for a given PTF file entry. See the GMTS*2.7*111 patch
description for more details about the Health Summary modifications.

The following reports in OE/RR REPORT (file #101.24) will now also display
up to 25 ICD codes per occurrence.

ORRPW ADT ADM DC - Adm./Discharge
ORRPW ADT DC DIAG - Discharge Diagnosis
ORRPW ADT EXP - Expanded ADT
ORRPW ADT ICD PROC - ICD Procedures
ORRPW ADT ICD SURG - ICD Surgeries
ORRPW DOD ADT EXP - DOD Expanded ADT

This OE/RR patch will establish a default value at the PACKAGE level for
the ORWRP TIME/OCC LIMITS INDV parameter. This parameter sets the date
and time limits for an individual report. The parameter value for the
reports listed above shall be: T-7;T;25. This sets a date range of the
previous seven days up to the current date and will return a maximum
number of 25 occurrences.