$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Tuesday, 10/10/23 at 16:07 ============================================================================= Run Date: OCT 23, 2023 Designation: LEX*2*146 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #137 Status: Released Compliance Date: OCT 27, 2023 ============================================================================= Associated patches: (v)LEX*2*145 <<= must be installed BEFORE `LEX*2*146' Subject: CODE SET FY24 1ST QTR INTERIM UPDATE Category: - Routine - Enhancement () - Other - Data Dictionary Description: ============ This patch contains one change from FY23 3rd Qtr (effective May 03, 2023), one change from FY23 4th Qtr (effective Aug 14, 2023), six changes from FY23 4th Qtr (effective Sep 11, 2023) and 23 projected changes for FY24 1st Qtr (effective Nov 01, 2023). This patch installs the data for the following Informational patch: ICPT*6.0*112 Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #81 CPT Modified #81.1 CPT CATEGORY Modified #81.3 CPT MODIFIER Modified #757-757.41 LEXICON files Modified Forms Associated: Form Name File Number New/Modified/Deleted --------- ----------- -------------------- N/A Mail Groups Associated: Mail Group Name New/Modified/Deleted --------------- -------------------- N/A Options Associated: Option Name Type New/Modified/Deleted ----------- ---- -------------------- N/A Protocols Associated: Protocol Name New/Modified/Deleted ------------- -------------------- N/A Security Keys Associated: Security Key Name ----------------- N/A Templates Associated: Template Name Type File Name (Number) New/Modified/Deleted ------------- ---- ------------------ -------------------- N/A Remote Procedures Associated: Remote Procedure Name New/Modified/Deleted --------------------- -------------------- N/A Parameter Definitions Associated: --------------------------------- Parameter Name New/Modified/Deleted -------------- -------------------- N/A Additional Information: ----------------------- N/A New Service Requests (NSRs): ---------------------------- N/A Patient Safety Issues (PSIs): ----------------------------- N/A Defect Tracking System Ticket(s) & Overview: -------------------------------------------- N/A Problem: -------- N/A Resolution: ----------- N/A Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- NFSG: CHG0419207 UNY: CHG0418649 FHM: CHG0418167 ENHANCEMENTS: ============ FY24 1st Quarter Interim Update CPT Procedure Additions (7 Codes) ----------------------- Effective May 03, 2023 (FY23 3rd Qtr) (1 Code) 90679 Effective Sep 11, 2023 (FY23 4th Qtr) (6 Codes) 90480 91318 91319 91320 91321 91322 CPT Procedure Inactivations --------------------------- Effective Nov 01, 2023 (23 Codes) 0021A 0022A 0041A 0042A 0104A 0121A 0124A 0134A 0141A 0142A 0144A 0151A 0154A 0164A 0171A 0172A 0173A 0174A 91302 91303 91310 91312 91313 CPT Procedure Revisions ----------------------- Effective Aug 14, 2023 (1 Code) 91304 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2018 * 1 -- -- 1 2 * update from a previous quarter 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, 1983-2023 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. Software and Documentation Retrieval Instructions: -------------------------------------------------- The software for this patch is being released in a PackMan message as well as a global host file. The host file is available at the following location: /srv/vista/patches/SOFTWARE/LEX_2_146.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*146. This patch should take from 25 to 90 minutes to install depending on the system. Create a backup 20-75 minutes Load the Global 1-5 minutes Kids Install 1-5 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, CPT and ICD globals will result in a combined growth of about 40 MB of data. The import global ^LEXM is about 92 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 Category #81.1 ^DIC(81.1, CPT MODIFIER #81.3 ^DIC(81.3, 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: ------ -------------------------- ^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 ^DIC(81.1, CPT Category INSTALLATION INSTRUCTIONS ------------------------- 1) Install the data from the global host file LEX_2_146.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 92 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_146.GBL Parameter: "RS" => Globals were saved on 09 Oct 2023 4:15 PM IRIS with description: LEX*2.0*146/ICPT*6.0*112 Data Input option: A ^LEXM 2) Choose the PackMan message containing this build. Then select the INSTALL/CHECK MESSAGE PackMan option to load the build. 3) From the Kernel Installation and Distribution System Menu, select the Installation Menu. From this menu, A. Select the Verify Checksums in Transport Global option to confirm the integrity of the routines that are in the transport global. When prompted for the INSTALL NAME enter the patch or build name. (ex. or XXXXX BUILD X.X) NOTE: Using will not bring up a Multi-Package build even if it was loaded immediately before this step. It will only bring up the last patch in the build. B. You may also elect to use the following options: i. Print Transport Global - This option will allow you to view the components of the KIDS build. ii. Compare Transport Global to Current System - This option will allow you to view all changes that will be made when this patch is installed. It compares all of the components of this patch, such as routines, DDs, templates, etc. C. Select the Install Package(s) option and choose the patch to install. i. When prompted 'Want KIDS to INHIBIT LOGONs during the install? NO//', answer . ii. If prompted 'Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//', answer NO//. Post-Installation Instructions: ------------------------------- Cleanup a) The Environment Check routine LEX2146 and the Post-Install routine LEX2146P 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 1 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2146 Before: n/a After: B90866971 **146** Routine Name: LEX2146P Before: n/a After: B21696484 **146** ============================================================================= User Information: Entered By : Date Entered : OCT 09, 2023 Completed By: Date Completed: OCT 23, 2023 Released By : Date Released : OCT 23, 2023 ============================================================================= Packman Mail Message: ===================== $END TXT