$TXT Created by at CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Sunday, 05/26/24 at 21:47 ============================================================================= Run Date: JUN 27, 2024 Designation: LEX*2*150 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #141 Status: Released Compliance Date: JUL 01, 2024 ============================================================================= Associated patches: (v)LEX*2*149 <<= must be installed BEFORE `LEX*2*150' Subject: CODE SET FY24 4TH QTR UPDATE Category: - Routine - Enhancement (Emergency) - Other - Data Dictionary Description: ============ This patch contains the FY24 4th Quarter Code Set distribution with 137 changes effective Jul 01, 2024. This patch also contains two changes from FY24 2nd Qtr (effective Mar 22, 2024), two changes from FY24 3rd Qtr (effective Apr 01, 2024) and one change from FY24 3rd Qtr (effective Apr 04, 2024). Additionally, this patch exports 818 changes to the SNOMED CT coding system, and 1238 changes to the VA SNOMED Extension coding system. This patch installs the data for the following Informational patch: ICPT*6.0*116 This patch repairs a defect in routine LEXTOKN which caused terminology searches to fail in specific scenarios. Patch Components: ----------------- Files & Fields Associated: File Number File Name New/Modified/Deleted ------------------ ------------------- -------------------- #81 CPT 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: -------------------------------------------- INC20672648 Problem: -------- This patch corrects an error in the Lexicon coding systems and terminology search routine, LEXTOKN. The API was not properly parsing terms and coding system codes, resulting in some ICD10 code searches returning incomplete results. Specifically, if a search is performed for an ICD-10 Diagnosis code and the 4th character of the code is alphabetic and not numeric, the API would treat the 4th character as a separate search result. Textual terminology searches were not affected by the defect. Resolution: ----------- Routine LEXTOKN is updated to correct the error. Test Sites: ----------- VISN 02 (Buffalo, NY) Montana HCS (Fort Harrison, MT) North Florida HCS (Gainesville, FL) SNOW Change Order #: -------------------- UNY: CHG0492602 FHM: CHG0492354 NFSG: CHG0492591 ENHANCEMENTS: ============ FY24 4th Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2024 (27 Codes) 0020M 0450U 0451U 0452U 0453U 0454U 0455U 0456U 0457U 0458U 0459U 0460U 0461U 0462U 0463U 0464U 0465U 0466U 0467U 0468U 0469U 0470U 0471U 0472U 0473U 0474U 0475U CPT Procedure Revisions ----------------------- Effective Jul 01, 2024 (1 Code) 95024 HCPCS Procedure Additions (68 Codes) ------------------------- Effective Mar 22, 2024 (FY24 2nd Qtr) (2 Codes) M0224 Q0224 Effective Jul 01, 2024 (66 Codes) A9506 C1605 C1606 C9901 G0519 G0520 G0521 G0522 G0523 G0524 G0525 G0526 G0527 G0528 G0529 G0530 G0531 G9037 G9038 J0211 J0687 J0872 J0911 J1597 J1598 J1748 J2183 J2246 J2267 J2373 J2468 J2471 J3247 J3263 J3393 J3394 J7171 J7355 J8611 J8612 J9361 Q4311 Q4312 Q4313 Q4314 Q4315 Q4316 Q4317 Q4318 Q4319 Q4320 Q4321 Q4322 Q4323 Q4324 Q4325 Q4326 Q4327 Q4328 Q4329 Q4330 Q4331 Q4332 Q4333 Q5137 Q5138 HCPCS Procedure Inactivations ----------------------------- Effective Jul 01, 2024 (11 Codes) C9113 C9166 C9167 C9168 C9787 C9790 J2780 J9371 Q4210 Q4277 S0164 HCPCS Procedures Re-Used ------------------------ Effective Jul 01, 2024 (1 Code) J2470 HCPCS Procedure Revisions (34 Codes) ------------------------- Effective Apr 01, 2024 (FY24 3rd Qtr) (2 Codes) A4593 J9255 Effective Apr 04, 2024 (FY24 3rd Qtr) (1 Code) Q2055 Effective Jul 01, 2024 (31 Codes) J0134 J0136 J0137 J0173 J0401 J0651 J0652 J0873 J0893 J1574 J1806 J1921 J2021 J2184 J2251 J2272 J2281 J2599 J2806 J3244 J3371 J3372 J9046 J9172 J9258 J9259 J9294 J9296 J9314 J9322 J9393 SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2024 112 39 -- 41 192 SNOMED Terms Concepts 153 80 -- -- 233 Synonyms 83 117 -- -- 200 Fully Specified 154 39 -- -- 193 ----- ----- ----- ------ ----- 502 275 -- 41 818 SNOMED CT Version ID: 20240301 VSE Changes ----------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/15/2024 269 4 -- 21 294 SNOMED Terms Concepts 290 25 -- -- 315 Synonyms 286 46 -- -- 332 Fully Specified 293 4 -- -- 297 ----- ----- ----- ------ ----- 1138 79 -- 21 1238 VSE Version ID: 20240315 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, 1983-2024 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_150.GBL Patch Installation: ------------------- Pre Installation Instructions: ------------------------------ 1) Users may be on the system during the install of LEX*2.0*150. 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, and CPT globals will result in a combined growth of about 20 MB of data. The import global ^LEXM is about 97 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( 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 Installation Instructions ------------------------- 1) Install the data from the global host file LEX_2_150.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 97 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_150.GBL Parameter: "RS" => Globals were saved on 26 May 2024 10:39 PM IRIS with description: LEX*2.0*150/ICPT*6.0*116 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. Select the Backup a Transport Global option to create a backup message. You must use this option and specify what to backup; the entire Build or just Routines. The backup message can be used to restore the routines and components of the build to the pre-patch condition. i. At the Installation option menu, select Backup a Transport Global ii. At the Select INSTALL NAME prompt, enter your build XXX*#.#*### iii. When prompted for the following, enter "R" for Routines or "B" for Build. Select the following: R Routines Only Backup Type: R// iv. When prompted "Do you wish to secure your build? NO//", press and take the default response of "NO". v. When prompted with, "Send mail to: Last name, First Name", press to take default recipient. Add any additional recipients. vi. When prompted with "Select basket to send to: IN//", press and take the default IN mailbox or select a different mailbox. C. 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. D. 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 LEX2150 and the Post-Install routine LEX2150P 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: LEX2150 Before: n/a After: B90827920 **150** Routine Name: LEX2150P Before: n/a After: B21696851 **150** Routine Name: LEXTOKN Before: B54550782 After: B54227577 **80,150** Routine list of preceding patches: 80 ============================================================================= User Information: Entered By : Date Entered : MAY 26, 2024 Completed By: Date Completed: JUN 26, 2024 Released By : Date Released : JUN 27, 2024 ============================================================================= Packman Mail Message: ===================== $END TXT