$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 02/25/19 at 10:29 ============================================================================= Run Date: MAR 25, 2019 Designation: LEX*2*121 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #112 Status: Released Compliance Date: APR 01, 2019 ============================================================================= Associated patches: (v)LEX*2*120 <<= must be installed BEFORE `LEX*2*121' Subject: CODE SET FY19 3RD QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains six changes from FY19 2nd Qtr (effective Jan 01, 2019) and 23 projected changes for FY19 4th Qtr (effective Jul 01, 2019). This patch also exports 161974 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*88 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT CATEGORY #81.1 ^DIC(81.1, ICR 4490 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 3rd Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2019 (21 Codes) 0543T 0544T 0545T 0546T 0547T 0548T 0549T 0550T 0551T 0552T 0553T 0554T 0555T 0556T 0557T 0558T 0559T 0560T 0561T 0562T 90619 CPT Procedure Revisions ----------------------- Effective Jul 01, 2019 (2 Codes) 0402T 90734 HCPCS Procedure Additions ------------------------- Effective Jan 01, 2019 (4 Codes) C1890 J2186 J2787 Q5111 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2019 (1 Code) C9034 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2019 (1 Code) J1095 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2019 11862 11682 18 8236 31798 SNOMED Terms Concepts 20099 19918 -- -- 40017 Synonyms 25102 36836 -- -- 61938 Fully Specified 16539 11682 -- -- 28221 ----- ----- ----- ------ ----- 73602 80118 18 8236 161974 SNOMED CT Version ID: 20190131 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, 1983-2019 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_121.GBL (ASCII) The host file is 223 MB in size and could take up to 7 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*121. It is recommended that this patch be installed during non-peak hours. This patch should take from 57 to 110 minutes to install depending on the system. Create a backup 25-90 minutes Load the Global 2-5 minutes Kids Install 10-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon and CPT globals will result in a combined growth of about 190 MB of data. The import global ^LEXM is about 1.07 GB 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 Category #81.1 ^DIC(81.1, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( These backup files may get as large as 2.4 gigabytes. Make sure space is available before proceeding. It should take from 25 to 90 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 ^LEXT Lexicon Subsets 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(81.1, CPT Category 4) Install the data from the global host file LEX_2_121.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 4 to 7 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_121.GBL Parameter: RS=> Globals were saved on 25 Feb 2019 10:58 AM Cache with description: LEX*2.0*121/ICPT*6.0*88 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*121. 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 10-15 minutes 8) Cleanup a) The Environment Check routine LEX2121 and the Post-Install routine LEX2121P 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2121 Before: n/a After: B91899051 **121** Routine Name: LEX2121P Before: n/a After: B21647736 **121** ============================================================================= User Information: Entered By : Date Entered : DEC 20, 2018 Completed By: Date Completed: MAR 25, 2019 Released By : Date Released : MAR 25, 2019 ============================================================================= Packman Mail Message: ===================== $END TXT