$TXT Created by CHEYL106.FO-BAYPINES.DOMAIN.EXT (KIDS) on Monday, 05/23/16 at 10:18 ============================================================================= Run Date: JUN 28, 2016 Designation: LEX*2*107 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #97 Status: Released Compliance Date: JUL 11, 2016 ============================================================================= Associated patches: (v)LEX*2*105 <<= must be installed BEFORE `LEX*2*107' Subject: Code Set FY16 4th Qtr Update Category: - Enhancement (Mandatory) - Routine - Other - Data Dictionary Description: ============ This patch contains the FY16 4th Quarter Code Set distribution with 17 changes effective Jul 01, 2016. This patch also contains one change from FY14 2nd Qtr (effective Jan 01, 2014) and 10 changes from FY16 2nd Qtr (effective Jan 01, 2016). Additionally, this patch exports 14221 changes to the SNOMED CT coding system. This patch installs the data for the following Informational patch: ICPT*6.0*76 This patch writes to the following files: CPT #81 ^ICPT( ICR 4489 CPT MODIFIER #81.3 ^DIC(81.3, ICR 4492 LEXICON files #757-757.41 ^LEX( N/A ENHANCEMENTS ============ FY16 4th Quarter Update HCPCS Procedure Additions ------------------------- Effective Jul 01, 2016 (15 Codes) C9137 C9138 C9461 C9470 C9471 C9472 C9473 C9474 C9475 Q5102 Q9981 Q9982 Q9983 S0285 S0311 HCPCS Procedure Inactivations ----------------------------- Effective Jul 01, 2016 (2 Codes) C1820 C1822 HCPCS Procedures Re-Used ------------------------ Effective Jan 01, 2016 (1 Code) J3090 HCPCS Procedure Revisions (10 Codes) ------------------------- Effective Jan 01, 2014 (FY14 2nd Qtr) (1 Code) G9295 Effective Jan 01, 2016 (FY16 2nd Qtr) (9 Codes) G9283 G9284 G9293 G9294 G9410 G9411 G9412 G9413 G9594 CPT/HCPCS Modifier Pairs ------------------------ Added Inact React Revise Total ----- ----- ----- ------ ----- Effective Jan 01, 2006 * 6 -- -- -- 6 * update from a previous quarter SNOMED CT Changes ----------------- Effective Added Inact React Revise Total ---------- ----- ----- ----- ------ ----- SNOMED Codes 03/01/2016 722 5 -- 11 738 SNOMED Terms Concepts 733 17 -- -- 750 Synonyms 9643 2327 -- -- 11970 Fully Specified 748 15 -- -- 763 ----- ----- ----- ------ ----- 11846 2364 -- 11 14221 REQUEST/INCIDENTS: ================= I8142531FY16 - Add re-used code J3090 and description R8779467FY16 - Add Modifiers 50, RT and LT with CPT code 37187 OTHER CHANGES: ============= Fix description for HCPCS Codes G9410, G9411, G9412, and G9413 SFTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_107.GBL (ASCII) The host file is 236 MB in size and could take up to 10 minutes to SFTP. The preferred method is to retrieve the file from: download.vista.domain.ext. This transmits the files from the first available server. Sites may also elect to retrieve files directly from a specific server. Sites may retrieve the software directly using Secure File Transfer Protocol (SFTP) from the ANONYMOUS.SOFTWARE directory at the following OI Field Offices: Albany domain.ext Hines domain.ext Salt Lake City domain.ext INSTALLATION INSTRUCTIONS ========================= 1) Users may be on the system during the install of LEX*2.0*107. It is recommended that this patch be installed during non-peak hours. This patch should take from 57 to 82 minutes to install depending on the system. Create a backup 50-65 minutes Load the Global 2-4 minutes Kids Install 5-13 minutes 2) Size/Disk Space Requirements: The changes to the Lexicon, ICD and CPT globals will result in a combined growth of about 148 MB of data. The import global ^LEXM is about 183 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 Modifier #81.3 ^DIC(81.3, Lexicon Files #757-757.41 ^LEX( These backup files may get as large as 2.17 gigabytes. Make sure space is available before proceeding. It should take from 50 to 65 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 4) Install the data from the global host file LEX_2_107.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 236 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 2 to 4 minutes. From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_107.GBL Parameter: RS=> Globals were saved on 28 May 2016 7:05 PM Cache with description: LEX*2.0*107/ICPT*6.0*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*107. 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 6-13 minutes 8) Cleanup a) The Environment Check routine LEX2107 and the Post-Install routine LEX2107P 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 2 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2107 Before: n/a After:B153837788 **107** Routine Name: LEX2107P Before: n/a After: B20896043 **107** ============================================================================= User Information: Entered By : Date Entered : MAY 02, 2016 Completed By: Date Completed: JUN 27, 2016 Released By : Date Released : JUN 28, 2016 ============================================================================= Packman Mail Message: ===================== $END TXT