$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Sunday, 09/16/12 at 22:11 ============================================================================= Run Date: OCT 24, 2012 Designation: LEX*2*84 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #76 Status: Released Compliance Date: OCT 31, 2012 ============================================================================= Associated patches: (v)LEX*2*83 <<= must be installed BEFORE `LEX*2*84' Subject: Code Set FY13 1st Qtr Update Category: - Data Dictionary - Routine - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY13 1st Quarter Code Set distribution with 30 changes effective Oct 01, 2012. This patch installs the data for the following Informational patches: ICD*18.0*66 ICPT*6.0*61 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY13 1st Quarter Update HCPCS Procedure Additions ------------------------- Effective Oct 01, 2012 (2 Codes) C9292 C9293 ICD Diagnosis Revisions ----------------------- Effective Oct 01, 2012 (27 Codes) 493.90 550.11 598.00 598.01 642.91 642.92 646.11 646.20 647.02 647.03 647.04 647.14 647.23 648.60 652.61 652.63 664.01 755.30 848.40 941.48 942.20 943.20 943.31 V59.71 V59.72 V59.73 V59.74 ICD Procedure Code Additions ---------------------------- Effective Oct 01, 2012 (1 Code) 00.95 REMEDY TICKETS: =============== 540849 - Cooley's Anemia 282.44 725282 - Re-activate Modifiers V8/V9 FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_84.GBL (ASCII) The preferred method is to FTP the files from download.vista.med.va.gov, which will transmit the files from the first available FTP server. The files may also be downloaded directly from a particular FTP location at the following locations. Hines ftp.fo-hines.med.va.gov Albany ftp.fo-albany.med.va.gov Salt Lake ftp.fo-slc.med.va.gov Files are available in the ANONYMOUS.SOFTWARE directory. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*84. It is recommended that this patch be installed during non-peak hours. This patch should take from 18 to 53 minutes to install depending on the system. Create a backup 16 - 44 minutes Load the Global .1 - 1 minutes Kids Install 1 - 8 minutes Total 18 - 53 minutes 2) Create a backup of the following global files before continuing: ICD Diagnosis #80 ^ICD9( ICD Operation/Procedure #80.1 ^ICD0( CPT/HCPCS Procedure #81 ^ICPT( CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 1.2 gigabytes. Make sure space is available before proceeding. It should take from 16 to 45 minutes to create the backup files. Before you begin backing up the data in the ^LEX global, first clear out the UNRESOLVED NARRATIVE file 757.06. This will prevent the backup procedure from encountering a control character and aborting in error. At the programmer prompt, issue the following MUMPS command to remove the control characters: >D CLR^LEXAR7 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 ^ICD0 ICD Operation/Procedure ^ICPT CPT/HCPCS Procedure ^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 3) Install the data from the global host file LEX_2_84.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 4.6 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from .1 to 1 minute. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_84.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_84.GBL Parameters? "RS" => Globals were saved on 16 Sep 2012 9:53 PM Cache with description: LEX*2.0*84/ICD*18.0*66/ICPT*6.0*61 Data Input option: A ^LEXM 4) Set up user and IO variables (D ^XUP) for programmer access. 5) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 6) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*84. 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 1 - 8 minutes 7) Cleanup a) The Environment Check routine LEX2084 and the Post-Install routine LEX2084P 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. 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: LEX2084 Before: n/a After:B124232319 **84** Routine Name: LEX2084P Before: n/a After: B19188715 **84** ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : AUG 08, 2012 Completed By: CARTER,BRUCE C Date Completed: OCT 22, 2012 Released By : SCHWARTZ,VIKIE Date Released : OCT 24, 2012 ============================================================================= Packman Mail Message: ===================== $END TXT