$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Wednesday, 06/06/18 at 10:19 ============================================================================= Run Date: JUN 27, 2018 Designation: LEX*2*118 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #109 Status: Released Compliance Date: JUL 05, 2018 ============================================================================= Associated patches: (v)LEX*2*117 <<= must be installed BEFORE `LEX*2*118' Subject: Code Set FY18 4th Qtr Update Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY18 4th Quarter Code Set distribution with 5 changes effective Jul 01, 2018. This patch also contains nine changes from FY18 3rd Qtr (effective Apr 01, 2018). Additionally, this patch exports 8182 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*85 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A PATCH COMPONENTS: ================ Files & Fields Associated: N/A Forms Associated: N/A Mail Groups Associated: N/A Options Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A ENHANCEMENTS: ============ FY18 4th Quarter Update HCPCS Procedure Additions (14 Codes) ------------------------- Effective Apr 01, 2018 (FY18 3rd Qtr) (9 Codes) C9462 C9463 C9464 C9465 C9466 C9467 C9468 C9469 C9749 Effective Jul 01, 2018 (5 Codes) Q9991 Q9992 Q9993 Q9994 Q9995 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2018 * 42 -- -- 4 46 Effective Jul 01, 2018 6 -- -- -- 6 ----- ----- ----- ------ ----- Total 48 -- -- 4 52 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2018 363 -- -- 17 380 SNOMED Terms Concepts 380 17 -- -- 397 Synonyms 784 6249 -- -- 7033 Fully Specified 372 -- -- -- 372 ----- ----- ----- ------ ----- 1899 6266 -- 17 8182 SNOMED CT Version ID: 20180301 CPT Copyright ============== CPT (CPT is a registered trademark of the American Medical Association) codes, descriptions and other data are copyright 1966, 1970, 1973, 1977, 1981, 1983-2017 American Medical Association. CPT is commercial technical data developed exclusively at private expense by Contractor/Manufacturer American Medical Association, AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. The provisions of this Agreement between AMA and VA prevail, including prohibiting creating derivative works and providing CPT to any third parties outside of the Facilities. REQUEST/INCIDENTS: ================= I0263684 AEU is having problems with Compliant Code Module I0311465 IB bills for dialysis are not billable I0326477 CPT Code 90999 in CPRS and VISTA is causing errors I0508923 Modifier 25 and GT Is missing from Lexicon TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_118.GBL (ASCII) The host file is 100 MB in size and could take up to 10 minutes to SFTP. The preferred method is to retrieve the file from: download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software directly using Secure File Transfer Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Hines domain.ext Salt Lake City domain.ext INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*118. It is recommended that this patch be installed during non-peak hours. This patch should take from 30 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 2-4 minutes Kids Install 8-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon and CPT globals will result in a combined growth of about 80 MB of data. The import global ^LEXM is about 76 MB in size. Make sure there is sufficient space for the growth to the VistA globals and the import global before continuing. 3) Create a backup of the following global files before continuing: CPT #81 ^ICPT( CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.3 gigabytes. Make sure space is available before proceeding. It should take from 20 to 75 minutes to create the backup files. When you are creating a backup of non-subscripted globals, you are saving the entire global. You should use the utility ^%GO for non-subscripted globals, and when prompted for a global, enter the global root (global name only, no open parenthesis, no file number and no commas, as shown below). Examples: Enter To create a Backup copy of: ------ -------------------------- ^ICPT CPT ^LEX Lexicon Files When you are creating a backup of a subscripted global, you are saving a partial global (a file within a global). You should use the utility ^%GOGEN, and when prompted for a global, enter the open global reference as shown below. Examples: Enter To create a Backup copy of: ------ -------------------------- ^DIC(81.3, CPT Modifier 4) Install the data from the global host file LEX_2_118.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 80 megabytes in size. Make sure there is sufficient space available to load this global on your system. The loading of the global should take from 2 to 4 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_118.GBL Parameter: RS=> Globals were saved on 06 Jun 2018 11:09 AM Cache with description: LEX*2.0*118/ICPT*6.0*85 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*118. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Scheduled Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 8-15 minutes 8) Cleanup a) The Environment Check routine LEX2118 and the Post-Install routine LEX2118P should be deleted using the KERNEL option 'Delete Routines' [XTRDEL] upon completion of the installation. NOTE: The installation of this patch should trigger an update protocol and may spawn background tasks for the Clinical Reminders or Consult packages. You do not need to wait for these background jobs to complete to delete the Environment Check and Post-Install routines. 9) Back-out Plan: To back-out data from a production account could cause broken pointers, errors and hard MUMPS crashes. The back-out plan for data only patches is to report your findings and wait for a repair patch. Contact Help desk to log a ticket. 10) Patch Verification: Kernel Installation & Distribution System-> Utilities-> Install File Print option can be used to check for any errors plus the status of the install being Completed. Routine Information: ==================== The second line of each of these routines now looks like: ;;2.0;LEXICON UTILITY;**[Patch List]**;Sep 23, 1996;Build 7 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2118 Before: n/a After: B91433587 **118** Routine Name: LEX2118P Before: n/a After: B20925798 **118** ============================================================================= User Information: Entered By : Date Entered : MAR 20, 2018 Completed By: Date Completed: JUN 26, 2018 Released By : Date Released : JUN 27, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT