$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 02/27/20 at 16:41 ============================================================================= Run Date: MAR 19, 2020 Designation: LEX*2*125 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #116 Status: Released Compliance Date: MAR 26, 2020 ============================================================================= Associated patches: (v)LEX*2*124 <<= must be installed BEFORE `LEX*2*125' Subject: CODE SET FY20 3RD QTR UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains the FY20 3rd Quarter Code Set distribution with 1 change effective Apr 01, 2020. This patch also contains seven changes from FY20 2nd Qtr (effective Jan 01, 2020) and 1 projected change for FY20 3rd Qtr (effective May 01, 2020). Additionally, this patch exports 30355 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*101 ICPT*6.0*92 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 CPT #81 ^ICPT( ICR 4489 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: ============ FY20 3rd Quarter Update CPT Procedure Revisions ----------------------- Effective May 01, 2020 (1 Code) 3170F HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2020 (7 Codes) G2136 G2137 G2140 G2141 G2144 G2145 L2006 ICD-10 Diagnosis Additions -------------------------- Effective Apr 01, 2020 (1 Code) U07.0 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 01/31/2020 3044 1329 16 867 5256 SNOMED Terms Concepts 3912 2196 -- -- 6108 Synonyms 7631 5874 -- -- 13505 Fully Specified 4157 1329 -- -- 5486 ----- ----- ----- ------ ----- 18744 10728 16 867 30355 SNOMED CT Version ID: 20200131 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, 1983-2020 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_125.GBL (ASCII) The host file is 252 MB in size and could take up to 20 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*125. 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 1-5 minutes Kids Install 7-17 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT and ICD globals will result in a combined growth of about 27 MB of data. The import global ^LEXM is about 252 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( CPT #81 ^ICPT( Lexicon Files #757-757.41 ^LEX( 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: ------ -------------------------- ^ICD9 ICD Diagnosis ^ICPT CPT ^LEX Lexicon Files 4) Install the data from the global host file LEX_2_125.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 252 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 3 to 6 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_125.GBL Parameter: RS=> Globals were saved on 27 Feb 2020 15:40 PM Cache with description: LEX*2.0*125/ICD*18.0*101/ICPT*6.0*92 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*125. 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 LEX2125 and the Post-Install routine LEX2125P 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 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2125 Before: n/a After: B91981262 **125** Routine Name: LEX2125P Before: n/a After: B21755378 **125** ============================================================================= User Information: Entered By : Date Entered : FEB 12, 2020 Completed By: Date Completed: MAR 18, 2020 Released By : Date Released : MAR 19, 2020 ============================================================================= Packman Mail Message: ===================== $END TXT