$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 08/30/18 at 13:53 ============================================================================= Run Date: SEP 25, 2018 Designation: LEX*2*119 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #110 Status: Released Compliance Date: OCT 03, 2018 ============================================================================= Associated patches: (v)LEX*2*118 <<= must be installed BEFORE `LEX*2*119' Subject: Code Set FY19 1st Qtr Update Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY19 1st Quarter Code Set distribution with 1061 changes effective Oct 01, 2018. This patch also contains four changes from FY18 2nd Qtr (effective Jan 01, 2018), six changes from FY18 4th Qtr (effective Jul 01, 2018) and 26 projected changes for FY19 2nd Qtr (effective Jan 01, 2019). Additionally, this patch exports 115258 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*95 ICPT*6.0*86 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 CPT #81 ^ICPT( ICR 4489 LEXICON files #757-757.41 ^LEX( N/A SUBSET DEFINITIONS #757.2 ^LEXT( 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: ============ FY19 1st Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2018 (1 Code) 90689 CPT Procedure Revisions ----------------------- Effective Jan 01, 2018 (4 Codes) 90967 90968 90969 90970 HCPCS Procedure Additions (21 Codes) ------------------------- Effective Jul 01, 2018 (FY18 4th Qtr) (5 Codes) C9030 C9031 C9032 Q5105 Q5106 Effective Oct 01, 2018 (1 Code) Q5108 Effective Jan 01, 2019 (projected FY19 2nd Qtr) (15 Codes) D0412 D1516 D1517 D1526 D1527 D5282 D5283 D5876 D9130 D9613 D9944 D9945 D9946 D9961 D9990 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2019 (4 Codes) D1515 D1525 D5281 D9940 HCPCS Procedure Revisions (8 Codes) ------------------------- Effective Oct 01, 2018 (1 Code) K0037 Effective Jan 01, 2019 (projected FY19 2nd Qtr) (7 Codes) D4230 D4231 D5211 D5212 D5630 D7283 D9219 ICD-10 Diagnosis Additions -------------------------- Effective Oct 01, 2018 (279 Codes) C43.111 C43.112 C43.121 C43.122 C44.1021 C44.1022 C44.1091 C44.1092 C44.1121 C44.1122 C44.1191 C44.1192 C44.1221 C44.1222 C44.1291 C44.1292 C44.131 C44.1321 C44.1322 C44.1391 C44.1392 C44.1921 C44.1922 C44.1991 C44.1992 C4A.111 C4A.112 C4A.121 C4A.122 D03.111 D03.112 D03.121 D03.122 D04.111 D04.112 D04.121 D04.122 D22.111 D22.112 D22.121 D22.122 D23.111 D23.112 D23.121 D23.122 E72.81 E72.89 E75.26 E78.41 E78.49 E88.02 F12.23 F12.93 F53.0 F53.1 F68.A G51.31 G51.32 G51.33 G51.39 G71.00 G71.01 G71.02 G71.09 H01.00A H01.00B H01.01A H01.01B H01.02A H01.02B H02.151 H02.152 H02.153 H02.154 H02.155 H02.156 H02.159 H02.20A H02.20B H02.20C H02.21A H02.21B H02.21C H02.22A H02.22B H02.22C H02.23A H02.23B H02.23C H02.881 H02.882 H02.883 H02.884 H02.885 H02.886 H02.889 H02.88A H02.88B H10.821 H10.822 H10.823 H10.829 H57.811 H57.812 H57.813 H57.819 H57.89 I63.81 I63.89 I67.850 I67.858 K35.20 K35.21 K35.30 K35.31 K35.32 K35.33 K35.890 K35.891 K61.31 K61.39 K61.5 K82.A1 K82.A2 K83.01 K83.09 M79.10 M79.11 M79.12 M79.18 N35.016 N35.116 N35.811 N35.812 N35.813 N35.814 N35.816 N35.819 N35.82 N35.911 N35.912 N35.913 N35.914 N35.916 N35.919 N35.92 N99.116 O30.131 O30.132 O30.133 O30.139 O30.231 O30.232 O30.233 O30.239 O30.831 O30.832 O30.833 O30.839 O86.00 O86.01 O86.02 O86.03 O86.04 O86.09 P02.70 P02.78 P04.11 P04.12 P04.13 P04.14 P04.15 P04.16 P04.17 P04.18 P04.19 P04.1A P04.40 P04.42 P04.81 P04.89 P35.4 P74.21 P74.22 P74.31 P74.32 P74.41 P74.421 P74.422 P74.49 Q51.20 Q51.21 Q51.22 Q51.28 Q93.51 Q93.59 Q93.82 R82.991 R82.992 R82.993 R82.994 R82.998 R93.811 R93.812 R93.813 R93.819 R93.89 T43.641A T43.641D T43.641S T43.642A T43.642D T43.642S T43.643A T43.643D T43.643S T43.644A T43.644D T43.644S T74.51XA T74.51XD T74.51XS T74.52XA T74.52XD T74.52XS T74.61XA T74.61XD T74.61XS T74.62XA T74.62XD T74.62XS T76.51XA T76.51XD T76.51XS T76.52XA T76.52XD T76.52XS T76.61XA T76.61XD T76.61XS T76.62XA T76.62XD T76.62XS T81.40XA T81.40XD T81.40XS T81.41XA T81.41XD T81.41XS T81.42XA T81.42XD T81.42XS T81.43XA T81.43XD T81.43XS T81.44XA T81.44XD T81.44XS T81.49XA T81.49XD T81.49XS Y07.6 Z04.81 Z04.82 Z04.89 Z13.30 Z13.31 Z13.32 Z13.39 Z13.40 Z13.41 Z13.42 Z13.49 Z20.821 Z28.83 Z62.813 Z83.430 Z83.438 Z91.42 ICD-10 Diagnosis Inactivations ------------------------------ Effective Oct 01, 2018 (51 Codes) C43.11 C43.12 C44.102 C44.109 C44.112 C44.119 C44.122 C44.129 C44.192 C44.199 C4A.11 C4A.12 D03.11 D03.12 D04.11 D04.12 D22.11 D22.12 D23.11 D23.12 E72.8 E78.4 F53. G51.3 G71.0 H57.8 I63.8 K35.2 K35.3 K35.89 K61.3 K83.0 M79.1 N35.8 N35.9 O86.0 P02.7 P04.1 P04.8 P74.2 P74.3 P74.4 Q51.2 Q93.5 R82.99 R93.8 T81.4XXA T81.4XXD T81.4XXS Z04.8 Z13.4 ICD-10 Diagnosis Revisions -------------------------- Effective Oct 01, 2018 (113 Codes) E67.1 E72.53 F68.10 F68.11 F68.12 F68.13 H04.201 H04.202 H04.203 H04.209 H04.221 H04.222 H04.223 H04.229 I63.219 I63.239 I63.333 I63.343 L98.495 L98.496 L98.498 M50.01 M50.11 O00.212 R40.2330 R40.2331 R40.2332 R40.2333 R40.2334 S62.626A S62.626B S62.626D S62.626G S62.626K S62.626P S62.626S S62.627A S62.627B S62.627D S62.627G S62.627K S62.627P S62.627S S62.628A S62.628B S62.628D S62.628G S62.628K S62.628P S62.628S S62.629A S62.629B S62.629D S62.629G S62.629K S62.629P S62.629S S62.654A S62.654B S62.654D S62.654G S62.654K S62.654P S62.654S S62.655A S62.655B S62.655D S62.655G S62.655K S62.655P S62.655S S62.656A S62.656B S62.656D S62.656G S62.656K S62.656P S62.656S S62.657A S62.657B S62.657D S62.657G S62.657K S62.657P S62.657S S62.658A S62.658B S62.658D S62.658G S62.658K S62.658P S62.658S S62.659A S62.659B S62.659D S62.659G S62.659K S62.659P S62.659S V00.821A V00.821D V00.821S V00.822A V00.822D V00.822S V00.828A V00.828D V00.828S Y93.23 Z40.03 Z68.43 Z77.123 Z77.29 ICD-10 Procedure Additions -------------------------- Effective Oct 01, 2018 (392 Codes) 001U072 001U0J2 001U0K2 001U372 001U3J2 001U3K2 001U472 001U474 001U476 001U477 001U479 001U4J2 001U4J4 001U4J6 001U4J7 001U4J9 001U4K2 001U4K4 001U4K6 001U4K7 001U4K9 021W08F 021W08G 021W08H 021W08V 021W09F 021W09G 021W09H 021W09V 021W0AF 021W0AG 021W0AH 021W0AV 021W0JF 021W0JV 021W0KF 021W0KV 031509T 03150AT 03150JT 03150KT 03150ZT 031609T 03160AT 03160JT 03160KT 03160ZT 031H09Y 031H0AY 031H0JY 031H0KY 031H0ZY 031J09Y 031J0AY 031J0JY 031J0KY 031J0ZY 03700D1 03700Z1 03703D1 03703Z1 03704D1 03704Z1 03710D1 03710Z1 03713D1 03713Z1 03714D1 03714Z1 03720D1 03720Z1 03723D1 03723Z1 03724D1 03724Z1 03730D1 03730Z1 03733D1 03733Z1 03734D1 03734Z1 03740D1 03740Z1 03743D1 03743Z1 03744D1 03744Z1 03750D1 03750Z1 03753D1 03753Z1 03754D1 03754Z1 03760D1 03760Z1 03763D1 03763Z1 03764D1 03764Z1 03770D1 03770Z1 03773D1 03773Z1 03774D1 03774Z1 03780D1 03780Z1 03783D1 03783Z1 03784D1 03784Z1 03790D1 03790Z1 03793D1 03793Z1 03794D1 03794Z1 037A0D1 037A0Z1 037A3D1 037A3Z1 037A4D1 037A4Z1 037B0D1 037B0Z1 037B3D1 037B3Z1 037B4D1 037B4Z1 037C0D1 037C0Z1 037C3D1 037C3Z1 037C4D1 037C4Z1 03CG3Z7 03CH3Z7 03CJ3Z7 03CK3Z7 03CL3Z7 03CM3Z7 03CN3Z7 03CP3Z7 03CQ3Z7 041K3JQ 041K3JS 041L3JQ 041L3JS 041M3JQ 041M3JS 041N3JQ 041N3JS 041P0JQ 041P0JS 041P3JQ 041P3JS 041P4JQ 041P4JS 041Q0JQ 041Q0JS 041Q3JQ 041Q3JS 041Q4JQ 041Q4JS 041R0JQ 041R0JS 041R3JQ 041R3JS 041R4JQ 041R4JS 041S0JQ 041S0JS 041S3JQ 041S3JS 041S4JQ 041S4JS 041T3JQ 041T3JS 041U3JQ 041U3JS 041V3JQ 041V3JS 041W3JQ 041W3JS 05730D1 05730Z1 05733D1 05733Z1 05734D1 05734Z1 05740D1 05740Z1 05743D1 05743Z1 05744D1 05744Z1 05750D1 05750Z1 05753D1 05753Z1 05754D1 05754Z1 05760D1 05760Z1 05763D1 05763Z1 05764D1 05764Z1 05770D1 05770Z1 05773D1 05773Z1 05774D1 05774Z1 05780D1 05780Z1 05783D1 05783Z1 05784D1 05784Z1 05790D1 05790Z1 05793D1 05793Z1 05794D1 05794Z1 057A0D1 057A0Z1 057A3D1 057A3Z1 057A4D1 057A4Z1 057B0D1 057B0Z1 057B3D1 057B3Z1 057B4D1 057B4Z1 057C0D1 057C0Z1 057C3D1 057C3Z1 057C4D1 057C4Z1 057D0D1 057D0Z1 057D3D1 057D3Z1 057D4D1 057D4Z1 057F0D1 057F0Z1 057F3D1 057F3Z1 057F4D1 057F4Z1 093K7ZZ 093K8ZZ 0F500ZF 0F503ZF 0F504ZF 0F510ZF 0F513ZF 0F514ZF 0F520ZF 0F523ZF 0F524ZF 0F5G0ZF 0F5G3ZF 0F5G4ZF 0FD03ZX 0FD04ZX 0FD13ZX 0FD14ZX 0FD23ZX 0FD24ZX 0FD43ZX 0FD44ZX 0FD48ZX 0FD53ZX 0FD54ZX 0FD58ZX 0FD63ZX 0FD64ZX 0FD68ZX 0FD73ZX 0FD74ZX 0FD78ZX 0FD83ZX 0FD84ZX 0FD88ZX 0FD93ZX 0FD94ZX 0FD98ZX 0FDC3ZX 0FDC4ZX 0FDC8ZX 0FDD3ZX 0FDD4ZX 0FDD8ZX 0FDF3ZX 0FDF4ZX 0FDF8ZX 0FDG3ZX 0FDG4ZX 0FDG8ZX 0SP90EZ 0SPB0EZ 0SPC0EZ 0SPC0LZ 0SPC0MZ 0SPC0NZ 0SPC3LZ 0SPC3MZ 0SPC3NZ 0SPC4LZ 0SPC4MZ 0SPC4NZ 0SPD0EZ 0SPD0LZ 0SPD0MZ 0SPD0NZ 0SPD3LZ 0SPD3MZ 0SPD3NZ 0SPD4LZ 0SPD4MZ 0SPD4NZ 0SR90EZ 0SRB0EZ 0SRC0EZ 0SRC0M9 0SRC0MA 0SRC0MZ 0SRC0N9 0SRC0NA 0SRC0NZ 0SRD0EZ 0SRD0M9 0SRD0MA 0SRD0MZ 0SRD0N9 0SRD0NA 0SRD0NZ 0UY90Z0 0UY90Z1 0UY90Z2 0VXT0ZD 0VXT0ZS 0VXTXZD 0VXTXZS 0W190JW 0W193J9 0W193JB 0W193JG 0W193JJ 0W193JW 0W193JY 0W194JW 0W1B0JW 0W1B3J9 0W1B3JB 0W1B3JG 0W1B3JJ 0W1B3JW 0W1B3JY 0W1B4JW 0W1G0JW 0W1G3J9 0W1G3JB 0W1G3JG 0W1G3JJ 0W1G3JW 0W1G3JY 0W1G4JW 0W1J0JW 0W1J3J9 0W1J3JB 0W1J3JG 0W1J3JJ 0W1J3JW 0W1J3JY 0W1J4JW 3E02340 5A1522F 5A1522G 5A1522H XV508A4 XW033G4 XW033H4 XW043G4 XW043H4 ICD-10 Procedure Inactivations ------------------------------ Effective Oct 01, 2018 (216 Codes) 0RG00Z0 0RG00Z1 0RG00ZJ 0RG03Z0 0RG03Z1 0RG03ZJ 0RG04Z0 0RG04Z1 0RG04ZJ 0RG10Z0 0RG10Z1 0RG10ZJ 0RG13Z0 0RG13Z1 0RG13ZJ 0RG14Z0 0RG14Z1 0RG14ZJ 0RG20Z0 0RG20Z1 0RG20ZJ 0RG23Z0 0RG23Z1 0RG23ZJ 0RG24Z0 0RG24Z1 0RG24ZJ 0RG40Z0 0RG40Z1 0RG40ZJ 0RG43Z0 0RG43Z1 0RG43ZJ 0RG44Z0 0RG44Z1 0RG44ZJ 0RG60Z0 0RG60Z1 0RG60ZJ 0RG63Z0 0RG63Z1 0RG63ZJ 0RG64Z0 0RG64Z1 0RG64ZJ 0RG70Z0 0RG70Z1 0RG70ZJ 0RG73Z0 0RG73Z1 0RG73ZJ 0RG74Z0 0RG74Z1 0RG74ZJ 0RG80Z0 0RG80Z1 0RG80ZJ 0RG83Z0 0RG83Z1 0RG83ZJ 0RG84Z0 0RG84Z1 0RG84ZJ 0RGA0Z0 0RGA0Z1 0RGA0ZJ 0RGA3Z0 0RGA3Z1 0RGA3ZJ 0RGA4Z0 0RGA4Z1 0RGA4ZJ 0RGC0ZZ 0RGC3ZZ 0RGC4ZZ 0RGD0ZZ 0RGD3ZZ 0RGD4ZZ 0RGE0ZZ 0RGE3ZZ 0RGE4ZZ 0RGF0ZZ 0RGF3ZZ 0RGF4ZZ 0RGG0ZZ 0RGG3ZZ 0RGG4ZZ 0RGH0ZZ 0RGH3ZZ 0RGH4ZZ 0RGJ0ZZ 0RGJ3ZZ 0RGJ4ZZ 0RGK0ZZ 0RGK3ZZ 0RGK4ZZ 0RGL0ZZ 0RGL3ZZ 0RGL4ZZ 0RGM0ZZ 0RGM3ZZ 0RGM4ZZ 0RGN0ZZ 0RGN3ZZ 0RGN4ZZ 0RGP0ZZ 0RGP3ZZ 0RGP4ZZ 0RGQ0ZZ 0RGQ3ZZ 0RGQ4ZZ 0RGR0ZZ 0RGR3ZZ 0RGR4ZZ 0RGS0ZZ 0RGS3ZZ 0RGS4ZZ 0RGT0ZZ 0RGT3ZZ 0RGT4ZZ 0RGU0ZZ 0RGU3ZZ 0RGU4ZZ 0RGV0ZZ 0RGV3ZZ 0RGV4ZZ 0RGW0ZZ 0RGW3ZZ 0RGW4ZZ 0RGX0ZZ 0RGX3ZZ 0RGX4ZZ 0SG00Z0 0SG00Z1 0SG00ZJ 0SG03Z0 0SG03Z1 0SG03ZJ 0SG04Z0 0SG04Z1 0SG04ZJ 0SG10Z0 0SG10Z1 0SG10ZJ 0SG13Z0 0SG13Z1 0SG13ZJ 0SG14Z0 0SG14Z1 0SG14ZJ 0SG30Z0 0SG30Z1 0SG30ZJ 0SG33Z0 0SG33Z1 0SG33ZJ 0SG34Z0 0SG34Z1 0SG34ZJ 0SG50ZZ 0SG53ZZ 0SG54ZZ 0SG60ZZ 0SG63ZZ 0SG64ZZ 0SG70ZZ 0SG73ZZ 0SG74ZZ 0SG80ZZ 0SG83ZZ 0SG84ZZ 0SG90ZZ 0SG93ZZ 0SG94ZZ 0SGB0ZZ 0SGB3ZZ 0SGB4ZZ 0SGC0ZZ 0SGC3ZZ 0SGC4ZZ 0SGD0ZZ 0SGD3ZZ 0SGD4ZZ 0SGF0ZZ 0SGF3ZZ 0SGF4ZZ 0SGG0ZZ 0SGG3ZZ 0SGG4ZZ 0SGH0ZZ 0SGH3ZZ 0SGH4ZZ 0SGJ0ZZ 0SGJ3ZZ 0SGJ4ZZ 0SGK0ZZ 0SGK3ZZ 0SGK4ZZ 0SGL0ZZ 0SGL3ZZ 0SGL4ZZ 0SGM0ZZ 0SGM3ZZ 0SGM4ZZ 0SGN0ZZ 0SGN3ZZ 0SGN4ZZ 0SGP0ZZ 0SGP3ZZ 0SGP4ZZ 0SGQ0ZZ 0SGQ3ZZ 0SGQ4ZZ 0W4M0Z0 0W4N0Z1 5A15223 ICD-10 Procedure Revisions -------------------------- Effective Oct 01, 2018 (8 Codes) 0SRC0L9 0SRC0LA 0SRC0LZ 0SRD0L9 0SRD0LA 0SRD0LZ 10D00Z0 10D00Z1 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 07/31/2018 6048 -- 16 7686 13750 SNOMED Terms Concepts 13736 7677 -- -- 21413 Synonyms 26908 39615 -- -- 66523 Fully Specified 13572 -- -- -- 13572 ----- ----- ----- ------ ----- 60264 47292 16 7686 115258 SNOMED CT Version ID: 20180731 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: ================= None. TEST SITES ========== VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_119.GBL (ASCII) The host file is 223 MB in size and could take up to 30 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*119. 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 7-10 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT and ICD globals will result in a combined growth of about 20 MB of data. The import global ^LEXM is about 36 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: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT #81 ^ICPT( Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^ICD0 ICD Operation/Procedure ^ICPT CPT ^LEX Lexicon Files ^LEXT Lexicon Subsets 4) Install the data from the global host file LEX_2_119.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 223 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 10 to 30 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_119.GBL Parameter: RS=> Globals were saved on 28 Aug 2018 14:03 PM Cache with description: LEX*2.0*119/ICD*18.0*95/ICPT*6.0*86 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*119. 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 8-12 minutes 8) Cleanup a) The Environment Check routine LEX2119 and the Post-Install routine LEX2119P 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 5 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2119 Before: n/a After: B91918360 **119** Routine Name: LEX2119P Before: n/a After: B35138945 **119** ============================================================================= User Information: Entered By : Date Entered : MAR 20, 2018 Completed By: Date Completed: SEP 24, 2018 Released By : Date Released : SEP 25, 2018 ============================================================================= Packman Mail Message: ===================== $END TXT