$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 04/05/21 at 15:24 ============================================================================= Run Date: JUN 02, 2021 Designation: LEX*2*133 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #124 Status: Released Compliance Date: JUN 30, 2021 ============================================================================= Associated patches: (v)LEX*2*132 <<= must be installed BEFORE `LEX*2*133' Subject: VA SNOMED EXTENSION Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch introduces a new coding system to the LEXICON UTILITY package, named "VA SNOMED Extension", identified by the mnemonic "VSE". VA SNOMED Extension contains concept and descriptions needed by the VA that may only apply to the VA or concepts rejected by SNOMED for inclusion. The extension also serves as a temporary place for concepts and descriptions needed by the VA that could apply beyond the VA but are awaiting consideration for addition to SNOMED. Knowledge Based Systems (KBS) submits new terminology requests from sites for inclusion into SNOMED releases. This patch updates the option LEX CSV and adds new option LEX CSV VSE QUERY. Routine LEXQSC2 has been updated so that it correctly identifies inactive SNOMED terminology in the LEX CSV SCT QUERY option. Three new routines are added to support the display of terminology in the new option LEX CSV VSE QUERY. PATCH COMPONENTS: ================ Forms Associated: N/A Mail Groups Associated: N/A Protocols Associated: N/A Security Keys Associated: N/A Templates Associated: N/A Options Associated: Option Name Type New/Modified/Delete ----------- ---- ------------------- LEX CSV Run Routine Modified LEX CSV CPT QUERY Run Routine Modified LEX CSV HISTORY Run Routine Modified LEX CSV ICD QUERY Run Routine Modified LEX CSV ICD/CPT CHANGE LIST Run Routine Modified LEX CSV ICP QUERY Run Routine Modified LEX CSV MOD QUERY Run Routine Modified LEX CSV SCT QUERY Run Routine Modified LEX CSV VSE QUERY Run Routine New Files Associated: LEXICON files #757-757.41 ^LEX( ICR N/A This patch exports 1328 changes to the VA Extension of SNOMED Clinical Terms coding system. ADDITIONAL INFORMATION: ====================== New Service Requests (NSRs): N/A Patient Safety Issues (PSIs): N/A ENHANCEMENTS: ============ VA Extension Changes -------------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 10/01/2020 374 -- -- -- 374 SNOMED Terms Concepts 374 -- -- -- 374 Synonyms 206 -- -- -- 206 Fully Specified 374 -- -- -- 374 ----- ----- ----- ------ ----- 1328 -- -- -- 1328 SNOMED CT Version ID: 20201001 DEFECT TRACKING SYSTEM TICKETS(S) & OVERVIEW: ============================================= None TEST SITES ========== VA Central California Health Care System (Fresno, CA) VA Puget Sound Health Care System (Puget Sound, WA) Tuscaloosa VA Medical Center (Tuscaloosa, AL) Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released using a host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_133.GBL Documentation describing the new functionality is included in this release. Documentation can be found on the VA Software Documentation Library at: https://www.domain.ext/vdl/. Documentation can also be obtained at https://download.vista.domain.ext/index.html/SOFTWARE Documentation Title File Name ------------------------------------------------------------------------- Clinical Lexicon Version 2 Technical LEX_2.0_TM.PDF Manual Developer's Guide LEX_2.0_TM.DOCX Clinical Lexicon Version 2 User Manual LEX_2.0_UM.PDF LEX_2.0_UM.DOCX Patch Installation ================== Pre Installation Instructions: ============================== 1) Users may be on the system during the install of LEX*2.0*133. 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 5-15 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon globals will result in a combined growth of about 15 MB of data. The import global ^LEXM is about 104 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: 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 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: ------ -------------------------- ^LEX Lexicon File INSTALLATION INSTRUCTIONS ========================= 1) Install the data from the global host file LEX_2_133.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 104 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 1 to 5 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: /srv/vista/patches/SOFTWARE/LEX_2_133.GBL Parameter: "RS" => Globals were saved on 31 Mar 2021 17:18 PM IRIS with description: LEX*2.0*133 Data Input option: A ^LEXM 2) Set up user and IO variables (D ^XUP) for programmer access. 3) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 4) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*133. Respond "NO" at the " Want KIDS to Rebuild Menu Trees Upon Completion of Install?" prompt. 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 5-15 minutes Post-Installation Instructions: ============================== Cleanup a) The Environment Check routine LEX2133 and the Post-Install routine LEX2133P 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. Back-Out/Roll Back 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. 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2133 Before: n/a After: B93527599 **133** Routine Name: LEX2133P Before: n/a After: B21809491 **133** Routine Name: LEXQSC2 Before: B79382625 After: B84375375 **103,133** Routine Name: LEXQVSE Before: n/a After: B48727527 **133** Routine Name: LEXQVSE2 Before: n/a After: B79345658 **133** Routine Name: LEXQVSEA Before: n/a After: B12531439 **133** Routine list of preceding patches: 103 ============================================================================= User Information: Entered By : Date Entered : MAR 31, 2021 Completed By: Date Completed: JUN 01, 2021 Released By : Date Released : JUN 02, 2021 ============================================================================= Packman Mail Message: ===================== $END TXT