ICD-10-CM will replace ICD-9-CM as the diagnostic coding system.
ICD-10-PCS will replace the ICD-9-CM procedural coding system. Veterans
Health Administration (VHA) software remediation for ICD-10 enabled the
transition to support the use of the ICD-10 code sets; this PTF
Modifications project will increase the maximum allowable codes in the
entry, display, lookup, view, print, storage, and transmission of the
ICD-10 code sets in the VistA legacy and HealtheVet systems.

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 Health Summary patch will update the following Health Summary
Components (#142.1) to include the expanded fields as indicated:

MAS ADMISSIONS/DISCHARGES: Updated to display up to 25 secondary
diagnosis codes with each occurrence.

MAS ADT HISTORY EXPANDED: Updated to display up to 25 secondary
diagnosis codes, up to 25 procedure codes, and
up to 25 operation (surgery) codes.

MAS DISCHARGE DIAGNOSIS: Updated to display up to 25 secondary
diagnosis codes with each occurrence.

MAS PROCEDURES ICD CODES: Updated to display up to 25 procedure codes
with each occurrence.

MAS SURGERIES ICD CODES: Updated to display up to 25 operation
(surgery) codes with each occurrence.


The following reports utilize one or more of the aforementioned Health
Summary Components and will therefore now display the expanded data
fields as appropriate.

HEALTH SUMMARY (#142)
REMOTE DEMO/VISITS/PCE (1Y)
REMOTE DEMO/VISITS/PCE (3M)
REMOTE DUS SUM/SURG/PROD (12Y)

OE/RR REPORT (#101.23)
ORRPW ADT ADM DC
ORRPW ADT DC DIAG
ORRPW ADT EXP
ORRPW ADT ICD PROC
ORRPW ADT ICD SURG
ORRPW DOD ADT EXP

NOTE: This patch modifies the routine logic for the five Health Summary
Components listed above. Health Summary Components can be used in
several ways within VistA. Any of the following *locally created* items
will also be affected by the newly updated display capability included in
this patch IF those items leverage any of the affected components to
generate output.

Health Summary Types
Health Summary Objects
TIU/Health Summary Objects
OE/RR Reports

Objects may be of particular interest as the newly expanded display would
be more noticeable when an object is embedded in areas such as
boilerplate text, note templates, and reminder dialog templates.