$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Thursday, 10/02/14 at 16:35 ============================================================================= Run Date: NOV 03, 2014 Designation: LEX*2*97 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #88 Status: Released Compliance Date: NOV 10, 2014 ============================================================================= Associated patches: (v)PXRM*2*26 <<= must be installed BEFORE `LEX*2*97' (v)LEX*2*87 <<= must be installed BEFORE `LEX*2*97' (v)LEX*2*96 <<= must be installed BEFORE `LEX*2*97' Subject: Code Set FY15 1st Qtr Update Category: - Routine - Enhancement (Mandatory) - Other - Data Dictionary Description: ============ This patch contains the FY15 1st Quarter Code Set distribution with five changes effective Oct 01, 2014. This patch also contains six changes from FY13 2nd Qtr (effective Jan 01, 2013), one change from FY14 2nd Qtr (effective Jan 01, 2014), one change from FY14 3rd Qtr (effective Jun 30, 2014) and three changes from FY14 4th Qtr (effective Jul 01, 2014). Additionally, this patch exports 1570 changes to the CPT Modifier pairs and 251693 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patches: ICD*18.0*76 ICPT*6.0*69 This patch writes to the following files: ICD DIAGNOSIS #80 ^ICD9( ICR 4485 CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A SUBSET DEFINITIONS #757.2 ^LEXT( N/A ENHANCEMENTS ============ FY15 1st Quarter Update HCPCS Procedure Additions (8 Codes) ------------------------- Effective Jul 01, 2014 (FY14 4th Qtr) (3 Codes) C2644 C9022 C9134 Effective Oct 01, 2014 (5 Codes) K0901 K0902 Q9972 Q9973 S8032 HCPCS Procedure Inactivations (7 Codes) ----------------------------- Effective Jan 01, 2013 (FY13 2nd Qtr) (6 Codes) C9288 C9289 C9368 Q2045 Q2047 Q2048 Effective Jun 30, 2014 (FY14 3rd Qtr) (1 Code) C9441 HCPCS Procedure Revisions ------------------------- Effective Jan 01, 2014 (1 Code) G8930 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2006 * 1 -- -- -- 1 Effective Jan 01, 2007 * 1 -- -- -- 1 Effective Jan 01, 2008 * 2 -- -- 1 3 Effective Apr 01, 2010 * 1 -- -- -- 1 Effective Jan 01, 2011 * 1 -- -- -- 1 Effective Oct 01, 2013 * 1 -- -- -- 1 Effective Jan 01, 2014 * 1277 -- -- -- 1277 Effective Jul 01, 2014 * 26 -- -- -- 26 Effective Oct 01, 2014 255 -- -- 4 259 ----- ----- ----- ------ ----- Total 1565 -- -- 5 1570 * update from a previous quarter SNOMED CT Changes ----------------- Added Inact React Revise Total SNOMED Codes 7983 24079 85 1519 33666 SNOMED Terms Added Inact React Revise Total Concepts 10502 40156 0 0 50658 Fully Specified 12925 48226 0 0 61151 Synonyms 11394 128490 0 0 139884 Total 34821 216872 0 0 251693 Remedy Tickets: ============== None FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_97.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. INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*97. It is recommended that this patch be installed during non-peak hours. This patch should take from 97 to 170 minutes to install depending on the system. Create a backup 30 - 70 minutes Load the Global 7 - 10 minutes Kids Install 30 - 60 minutes Total 67 - 140 minutes Note: Times given are for a VSM system. Expect much faster times on a Linux system. 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 11 MB of data. The import global ^LEXM is about 330 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: ICD Diagnosis #80 ^ICD9( CPT #81 ^ICPT( CPT Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( Lexicon Subsets #757.2 ^LEXT( These backup files may get as large as 2 gigabytes. Make sure space is available before proceeding. It should take from 30 to 70 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 ^ICPT CPT ^LEX Lexicon Files ^LEXT Lexicon Subsets 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 4) Install the data from the global host file LEX_2_97.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 328 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 7 to 10 minutes. From the Programmer prompt, execute the following routine: D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_97.GBL Parameters? "RS" => Globals were saved on 23 Sep 2014 5:42 PM Cache with description: LEX*2.0*97/ICPT*6.0*69/ICD*18.0*76 Data Input option: A ^LEXM 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the KIDS Distribution from the Packman Message using the Packman function "Install/Check Message." 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*97. 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 30-60 minutes 8) Cleanup a) The Environment Check routine LEX2097 and the Post-Install routine LEX2097P 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 3 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2097 Before: n/a After:B139764026 **97** Routine Name: LEX2097P Before: n/a After: B49951823 **97** ============================================================================= User Information: Entered By : Date Entered : JUN 01, 2014 Completed By: Date Completed: NOV 03, 2014 Released By : Date Released : NOV 03, 2014 ============================================================================= Packman Mail Message: ===================== $END TXT