$TXT Created by at LEXDEV1.FO-BAYPINES.DOMAIN.EXT (KIDS) on Saturday, 06/14/14 at 19:49 ============================================================================= Run Date: AUG 07, 2014 Designation: LEX*2*87 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #87 Status: Released Compliance Date: AUG 28, 2014 ============================================================================= Associated patches: (v)LEX*2*80 <<= must be installed BEFORE `LEX*2*87' (v)ICD*18*57 <<= must be installed BEFORE `LEX*2*87' (v)ICD*18*64 <<= must be installed BEFORE `LEX*2*87' (v)LEX*2*95 <<= must be installed BEFORE `LEX*2*87' Subject: ICD-10 Data Update/Date Change Category: - Routine Description: ============ This patch contains changes to the FY14 ICD-10 Categories and changes the ICD-10 Implementation date from Oct 1, 2014 to Oct 1, 2015. This patch installs the data for the following Informational patch: ICD*18.0*68 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 ICD OPERATION/PROCEDURE #80.1 ^ICD0( ICR 4486 DRG #80.2 ^ICD( ICR 4487 ICD CODING SYSTEMS #80.4 ^ICDS( ICR 5755 DRG SURGICAL HIERARCHY #80.5 ^ICDRS( ICR 6066 Lexicon Files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ ICD-10 Diagnosis Categories --------------------------- The Character Positions File #757.033 has been updated to include additional ICD-10 categories for FY14. ICD-10 Implementation Date Change to Oct 1, 2015 ------------------------------------------------ ICD DIAGNOSIS file #80 Change ICD-9 Diagnosis status dates Change ICD-10 Diagnosis status dates Change ICD-10 Diagnosis versioned dates Affected fields: SEX EFFECTIVE DATE field #.01 (sub-file #80.04) AGE LOW EFFECTIVE DATE field #.01 (sub-file #80.011) AGE HIGH EFFECTIVE DATE field #.01 (sub-file #80.012) STATUS EFFECTIVE DATE field #.01 (sub-file #80.066) DIAGNOSIS EFFECTIVE DATE field #.01 (sub-file #80.067) DESCRIPTION EFFECTIVE DATE field #.01 (sub-file #80.068) DRG GROUPER EFFECTIVE DATE field #.01 (sub-file #80.071) MAJOR DIAGNOSTIC CATEGORY field #(sub-file #80.072) CC EFFECTIVE DATE field #.01 (sub-file #80.0103) ICD OPERATION/PROCEDURE file #80.1 Change ICD-9 Procedure status dates Change ICD-10 Procedure status dates Change ICD-10 Procedure versioned dates Affected fields: SEX EFFECTIVE DATE field #.01 (sub-file #80.11) STATUS EFFECTIVE DATE (sub-file #80.166) OPER/PROCEDURE EFFECTIVE DATE (sub-file #80.167) DESCRIPTION EFFECTIVE DATE (sub-file #80.168) DRG GROUPER EFFECTIVE DATE (sub-file #80.171) ICD OPERATIONS/PROCEDURE file #80.1 Change DRG status dates Change DRG versioned dates Affected fields: SEX EFFECTIVE DATE field #.01 (sub-file #80.11) STATUS EFFECTIVE DATE (sub-file #80.166) OPER/PROCEDURE EFFECTIVE DATE (sub-file #80.167) DESCRIPTION EFFECTIVE DATE (sub-file #80.168) DRG GROUPER EFFECTIVE DATE (sub-file #80.171) ICD CODING SYSTEM file #80.4 Change ICD 10 implementation date Affected fields: IMPLEMENTATION DATE field #.04 CODES file #757.02 Change ICD-9 Diagnosis and Procedure status dates Change ICD-10 Diagnosis and Procedure status dates Affected fields: ACTIVATION EFFECTIVE DATE .01 (sub-file #757.28) CODING SYSTEM file #757.03 Change ICD-10 Implementation date Affected fields: IMPLEMENTATION DATE field #11 CHARACTER POSITIONS file #757.033 Change ICD-10 Diagnosis category status date Change ICD-10 Procedure code fragment status date Change ICD-10 code fragment versioned dates Affected fields: STATUS EFFECTIVE DATE field #.01 (sub-file #757.331) NAME/TITLE EFFECTIVE DATE field #.01 (sub-file #757.332) DESCRIPTION EFFECTIVE DATE field #.01 (sub-file #757.043) EXPLANATION EFFECTIVE DATE field #.01 (sub-file #757.334) INCLUDES EFFECTIVE DATE field #.01 (sub-file #757.335) REMEDY TICKETS: ============== None TEST SITES: ========== Orlando, FL Battle Creek, MI FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_87.GBL (ASCII) The preferred method is to FTP the files from download.vista.domain.ext, 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.domain.ext Albany ftp.domain.ext Salt Lake ftp.domain.ext Files are available in the ANONYMOUS.SOFTWARE directory. It may take up to from 30 to 50 minutes to download from the FTP site. DISK SPACE REQUIREMENTS ======================= Temporary disk space required: Global Hostfile LEX_2_87.GBL 851 MB ^LEXM Import Global 640 MB The ^LEXM global is deleted by the Post-install and the global hostfile can be deleted from the system when no longer needed. Permanent disk space required: Additional Before After Permanent Space ^ICD0 65 MB 65 MB -- ^ICD9 100 MB 100 MB -- ^ICD 2 MB 2 MB -- ^ICDRS 11 KB 11 KB -- ^LEX 736 MB 741 MB 5 MB TOTAL 901 MB 906 MB 5 MB The distribution is large but the total growth is relatively small. The advantage is that users may stay on the system during the install. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*87. It is recommended that this patch be installed during non-peak hours. This patch should take from 113 to 145 minutes to install depending on the system. Create a backup 60 - 90 minutes Load the Global 13 - 20 minutes Kids Install 45 - 75 minutes Total 118 - 185 minutes All estimated times are based on a VMS system, Linux systems will be faster. 2) Create a backup of the following global files before continuing: ICD DIAGNOSIS #80 ^ICD9( ICD OPERATION/PROCEDURE #80.1 ^ICD0( DRG #80.2 ^ICD( ICD CODING SYSTEMS #80.4 ^ICDS( DRG SURGICAL HIERARCHY #80.5 ^ICDRS( Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.2 gigabytes. Make sure space is available before proceeding. It should take from 60 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 ^ICD0 ICD OPERATION/PROCEDURES ^ICDS ICD CODING SYSTEMS ^ICD DRG ^ICDRS DRG SURGICAL HIERARCHY ^LEX Lexicon Files 3) Install the data from the global host file LEX_2_87.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 620 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 13 to 20 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_87.GBL Parameters? "RS" => Globals were saved on 13 Jun 2014 9:50 AM Cache with description: LEX*2.0*87/ICD*18.0*68 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*87. 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 45 to 75 minutes. 7) Cleanup The Environment Check routine LEX2087 and the Post-Install routines LEX2087A and LEX2087P 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. 8) Post-Install Messages (informational) a) You should receive an install message that includes the account, the start time, the completion time and elapsed time for the install. Example: Subj: LEX*2.0*87 Installation [#450847] 06/14/14@19:38 From: POSTMASTER In 'IN' basket. Page 1 *New* ------------------------------------------------------- Lexicon/ICD/CPT Installation ============================ As of: Jun 14, 2014 19:38:29 In Account: VHA,ROU (Production) Maint By: User, Anonymous Build: LEX*2.0*87 Host File: LEX_2_87.GBL Protocols invoked: LEXICAL SERVICES UPDATE Jun 14, 2014 19:38:27 ICD CODE UPDATE EVENT Jun 14, 2014 19:38:25 Started: Jun 14, 2014 18:51:26 Finished: Jun 14, 2014 19:38:29 Elapsed: 00:47:03 Data: Installation of data completed successfully b) You should receive a post-install environment check that includes the success/failure of date change. Subj: ICD-10 Date Change - Oct 1, 2015 [#450849] 06/14/14 From: POSTMASTER In 'IN' basket. Page 1 *New* ---------------------------------------------------------- Environment is ok. All Effective dates of 10/01/2014 have been changed to 10/01/2015 ICD Effective Dates File Name/Number 10/01/2014 10/01/2015 --------------------------------- ---------- ---------- CODE file #757.02 0 786,514 CODING SYSTEMS file #757.03 0 2 CHARACTER POSITIONS file #757.033 0 1,764,852 ICD DIAGNOSIS file #80 0 2,559,858 ICD OPERATION/PROCEDURE file #80.1 0 2,244,756 DRG file #80.2 0 1,502 ICD CODING SYSTEMS file #80.4 0 2 DRG SURGICAL HIERARCHY file #80.5 0 2 Totals 0 7,357,488 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: LEX2087 Before: n/a After:B164345418 **87** Routine Name: LEX2087A Before: n/a After:B124616164 **87** Routine Name: LEX2087P Before: n/a After: B28656391 **87** ============================================================================= User Information: Entered By : Date Entered : SEP 06, 2012 Completed By: Date Completed: AUG 07, 2014 Released By : Date Released : AUG 07, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT