INSTALLATION NOTES FOR IHS PCC DATA ENTRY PATCH 4
=================================================================
PREFIX:   APCD - PCC DATA ENTRY
CURRENT VERSION:  2.0   PATCH *4    PRIORITY: MANDATORY
=================================================================
 
**** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** 
*****************************************************************
*READ THE ENTIRE NOTES FILE PRIOR TO ATTEMPTING ANY INSTALLATION!*
******************************************************************
**** NOTE ***** NOTE **** NOTE **** NOTE **** NOTE **** NOTE **** 
 
 
1.  GENERAL INFORMATION
 
    a)  Print all notes/readme files.
 
    b)  It is recommended that the terminal output during the
        installation be captured using an auxport printer
        attached to the terminal at which you are performing
        the software installation.  This will insure a printed
        audit trail if any problems should arise.

    c) This patch 4 does the following:
       - modifies the immunization display when using the IM mnemonic
       - checks for the required admitting diagnosis in the VRR
         for hospitalizations
       - fixes the form print for operations
       - adds a new data entry option for entering data for a 
         cohort of patients
       - adds a new mnemonic for entering provider driven overrides
         of health maintenance reminders
       - add mnemonics ECO2 and ECO3 for entering a second and third
         E-code for a POV
       - adds the Place of Injury prompt to ECOD mnemonic
       - adds Level of Decision Making field to PHN mnemonic
       - adds screens to tobacco and tb factors in dm update screen
       - Added BP to DM Update screenman screen
       - sends out all data entry templates with required changes
         for FM 22.  They work now under either FM 22 or FM 21.
       - adds a new way to enter patient education topics.  The user
         can now enter a topic using an icd9 diagnosis code and 1 of
         17 categories
       - adds HSIG, HBE, HCOL for capturing historical Flex Sig,
         Barium Enenma and Colonoscopy

 Patch 3 did the following:
  - Modifies the 3M coder interface.  (APCD3M,APCD3MG)
  - Adds a new data entry option for updating historical Diabetes
    information.  This option utilizes a screenman screen.  (APCDDMU*)
  - Adds a new data entry option to print a complete PCC visit in Encounter
    form format.  This can be used by users who do their data entry without
    filling out a form. (APCDEF,APCDEFC,APCDEFC1,APCDEFP,APCDEFP1,APCDEFU)
  - Added a field to the Refusals to allow an indication of whether 
    the refusal was because the item was not medically indicated.
  - Added NMI mnemonic to enter Refusals that were Not Medically Indicated.
  - Added a mnemonic to pick up Chief Complaint
  - Added a AOP mnemonic.  When used to enter procedures, this will 
    prompt for anesthesia information.
  - Added a prompt for ordering provider to RAD mnemonic.
  - Added 2 cpt modifier fields to the Radiology templates.
  - Added VCN, if entered to the visit selection display (APCDALV,
    APCDALV1,APCDEWHA,APCDVLK).
  - In the option to move V File items from one visit to another, added the
    ability to move all of one V File type by ordering provider.(APCDKUL)
  - Fixed UNDEF in forms tracking report.  (APCDFOS1)

 Patch 2 did the following:
  - Added all visit types to the Default Visit Type field in the PCC
    Control File.
  - Added all visit types to the Default Visit Type field of the PCC
    Data Entry Site Parameters file.
  - Added a new DD call PCC Data Entry Coder Errors for future use.
  - Modified the following routines for PCC File 200 conversion:
    APCDAAC1,APCDEAPC,APCDEGP0,APCDEGPP,APCDFOS1,APCDGHVD,APCDR00,
    APCDR06, APCDRV,APCDVCHK
    APCD20P2 - post init to patch, adds new mnemonics
    APCDALVR - added BLRLINK to new command
    APCDAUTL - changed APCLDF call
    APCDDVC  - exclude Event visits from report
    APCDEA   - commented out date echo
    APCDEA2  - fixed Tran Code Tracking call
    APCDEAP  - fixed Tran Code Tracking call
    APCDEDTC - prevent undef
    APCDEH1  - prevent undef
    APCDEHS1 - new routine for Health Summary display in non-browser mode
    APCDEWHA - reduced lab display in WHAT mnemonic
    APCDEREF - new routine for patient refusals/elder care
    APCDFC,APCDFC1,APCDFCP - modified forms count report
    APCDFCT1 - fixed Tran Code Tracking report
    APCDFUNC - added kill of variable
    APCDHIST - added refusal display
    APCDK    - modified for V NOTE linking
    APCDKUL  - fixed move v file option
    APCDPL - fixed sporadic provider narrative lookup problem
    APCDPLK - allow a 0 problem number
    APCDRVH1 - modified edit on # of dxs exported
    APCDVCHK - added a warning for ER mnemonic
    APCDVLST - added pov's to display
  New mnemonics:
    GHS - to display health summary in non-browser mode.
    REF - to enter a patient's refusal of service.

  WARNING:  it has been suggested that the PCPT mnemonic no longer
  be used because it may erroneously map CPT codes with Operation
  codes.  To disable this mnemonic, use the option to do so that is 
  under the Data Entry Supervisor menu.

2.  CONTENTS OF DISTRIBUTION
 
    a)  apcd0200.04k  - Patch Routines
 
    b)  apcd0200.04n  - This Notes file
 

3.  REQUIREMENTS
 
    a)  Kernel v 8.0 or later
 
    b) FileMan v 21

    c) AUT 98.10 PATCH 5 must be installed

    d) AUPN Version 99.1 patch 5 must be installed.
 
    e) APCD Version 2.0 patch 3 should be installed prior to 
       installing patch 4.

4.  INSTALLATION INSTRUCTIONS
 
    In all UCI's running PCC Data Entry:
 
    a)  This is a KIDS install.  Load distribution apcd0200.04k.
        After it is loaded, then install it.  If you need assistance
        With a KIDS install please call your Area Support personnel.
         
5.  POINT OF CONTACT

    Lori Butcher
    Cimarron Medical Informatics
    520-577-2146


