$TXT Created by ROWE,KIMBALL at LEXNXT.FO-BAYPINES.MED.VA.GOV (KIDS) on Tuesday, 07/22/08 at 10:45 ============================================================================= Run Date: AUG 13, 2008 Designation: LEX*2*59 Package : LEX - LEXICON UTILITY Priority: Mandatory Version : 2 SEQ #55 Status: Released Compliance Date: AUG 20, 2008 ============================================================================= Associated patches: (v)LEX*2*41 <<= must be installed BEFORE `LEX*2*59' (v)LEX*2*56 <<= must be installed BEFORE `LEX*2*59' Subject: Code Set FY08 4th Qtr Update Category: - Routine - Data Dictionary - Enhancement (Mandatory) - Other Description: ============ This patch contains the FY08 4th Quarter Code Set distribution with 10 changes effective Jul 01, 2008. This patch also contains one change from FY00 2nd Qtr (effective Jan 01, 2000), three changes from FY08 1st Qtr (effective Oct 01, 2007), three changes from FY08 2nd Qtr (effective Jan 01, 2008), three changes from FY08 2nd Qtr (effective Mar 13, 2008), 10 changes from FY08 3rd Qtr (effective Apr 01, 2008) and one change from FY08 3rd Qtr (effective Apr 02, 2008). This patch installs the data for the following Informational patches: ICD*18.0*35 ICPT*6.0*42 This patch writes to the following files: ICD Diagnosis #80 ^ICD9( ICR 4485 ICD Operation/Procedure #80.1 ^ICD0( ICR 4486 CPT/HCPCS Procedure #81 ^ICPT( ICR 4489 CPT Copyright #81.2 ^DIC(81.2, ICR 4491 CPT Modifier #81.3 ^DIC(81.3, ICR 4492 Lexicon Files #757-757.41 ^LEX( N/A Lexicon Subsets #757.2 ^LEXT( N/A ENHANCEMENTS ============ FY08 4th Quarter Update CPT Procedure Additions ----------------------- Effective Jul 01, 2008 (4 Codes) 3351F 3352F 3353F 3354F CPT Procedure Revisions ----------------------- Effective Jul 01, 2008 (1 Code) 99407 HCPCS Procedure Additions (9 Codes) ------------------------- Effective Mar 13, 2008 (FY08 2nd Qtr) (3 Codes) G0398 G0399 G0400 Effective Apr 01, 2008 (FY08 3rd Qtr) (2 Codes) C9241 Q4099 Effective Jul 01, 2008 (4 Codes) C9242 C9356 C9357 C9358 HCPCS Procedure Inactivations ----------------------------- Effective Jan 01, 2008 (3 Codes) G0297 G0300 G0377 HCPCS Procedure Revisions (9 Codes) ------------------------- Effective Apr 01, 2008 (FY08 3rd Qtr) (8 Codes) C8921 C8922 C8923 C8924 C8925 C8926 C8927 C8928 Effective Apr 02, 2008 (FY08 3rd Qtr) (1 Code) Q4096 CPT Modifier Inactivations -------------------------- Effective Jan 01, 2000 (1 Code) ED NOTE: Only the transportation modifier ED was inactivated, the Hematocrit modifier ED remains active CPT Modifiers Re-Used --------------------- Effective Jul 01, 2008 (1 Code) CG ICD Diagnosis Additions ----------------------- Effective Oct 01, 2007 (3 Codes) E928.6 E933.6 E933.7 ICD Procedures Revisions ------------------------ Effective Oct 01, 2007 (2 Codes) 81.30 81.31 SNOMED CT Changes (summary only) -------------------------------- Additions 2112 Revisions 464 Inactivations 739 Reactivations 11 Name Changes 7048 DATA DICTIONARY CHANGES ======================= The input transform for the DISPLAYABLE TEXT field #.01 of the EXPRESSION file #757.01 has been changed to allow for terms to be placed in the Lexicon Utility that begin with a dash "-" (such as a negative valued clinical finding). ROUTINE CHANGES =============== LEXXFI, LEXXGI, LEXXGI3 (new), LEXXII and LEXXII2 (new) ------------------------------------------------------- The Global Install routines were modified to add an additional line to the install message. After installing this patch, a message will be sent to the person installing the patch with the results of the install. The install message should contain one of the three following lines detailing the status of the data installation: Installation of data completed successfully Installation of data started but did not finish (incomplete) Installation of data not started (incomplete) LEXTRAN and LEXTRAN1 -------------------- Modifications made to LEXTRAN and LEXTRAN1, the Lexicon coded concept retrieval services API, to fix a problem exposed by the internal testing for patch LEX*2.0*59. FTP SOFTWARE RETRIEVAL: ======================= Global Host File: LEX_2_59.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*59. It is recommended that this patch be installed during non-peak hours. This patch should take from 45 minutes to 2 hours to install depending on the system. Create a backup 20-80 minutes Load the Global 15-20 minutes Kids Install 10-20 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 Copyright #81.2 ^DIC(81.2, 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 1.16 gigabytes. Make sure space is available before proceeding. It should take from 20 to 80 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 (name and no 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 Terminology Files ^LEXT Lexicon Subsets/User 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(81.2, CPT Copyright ^DIC(81.3, CPT Modifier 3) Make sure that the remnants of a previous import global do not exist on your system. If the global ^LEXM does exist, you will need to kill this global before proceeding. On a Cache system, the prevention of unsubscripted global kills is a system wide setting, but it can be allowed for a particular process using the $ZU command. The command for enabling unsubscripted global kills is: VAH>S X=$ZU(68,28,0) VAH>K ^LEXM The command for disabling unsubscripted kills for a process is S X=$ZU(68,28,1); however, halting out of the process and creating a new process will achieve the same effect. 4) Install the data from the global host file LEX_2_59.GBL. This file contains the Lexicon Utility's import global ^LEXM. This global is approximately 87 megabytes in size. Make sure there is sufficient space available to load this global with journaling on. The loading of the global should take from 15 to 20 minutes. Thin Client Global Restore Using the Cache Thin Client, right-click on the Cache cube, then select "Explorer." Open the "Namespaces" folder, then open the "VAH" folder, and right click on the "Globals" folder. Select the "Import from disk" option. Click on the "Options..." button. Select the "Globals" tab, make sure the format is VAX DSM, then click "OK." Find the file in the directory, double click on LEX_2_59.GBL. Next, select "Import All." At the prompt "Do you wish to restore '^LEXM'," select "Yes." Programmer Mode From the Programmer prompt, execute the following routine: >D ^%GI Global input Device: VA5$:[ANONYMOUS.SOFTWARE]LEX_2_59.GBL Parameter: RS=> Globals were saved on 21 Jul 2008 4:31 PM Cache with description: LEX*2*59/ICD*18*35/ICPT*6*42 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*59. The KIDS installation should take less than fifteen minutes depending on the number of users/jobs on the system. Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install?" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. The KIDs install should take from 10-20 minutes 8) Cleanup The Environment Check routine LEX2059 and the Post-Install routine LEX2059P 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 6 The checksums below are new checksums, and can be checked with CHECK1^XTSUMBLD. Routine Name: LEX2059 Before: n/a After:B115832848 **59** Routine Name: LEX2059P Before: n/a After: B2424109 **59** Routine Name: LEXTRAN Before: B59640556 After: B59128681 **41,59** Routine Name: LEXTRAN1 Before: n/a After: B62011182 **59** Routine Name: LEXXFI Before: B52571781 After: B53174607 **32,46,49,41,59** Routine Name: LEXXGI Before: B74289713 After: B38282153 **4,25,26,27,28,29,46,49,50,41,59** Routine Name: LEXXGI3 Before: n/a After: B21977980 **59** Routine Name: LEXXII Before: B34625513 After: B36561888 **32,46,49,50,41,59** Routine Name: LEXXII2 Before: n/a After: B32005202 **59** Routine list of preceding patches: 41 ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : APR 22, 2008 Completed By: LEE,ROBERT Date Completed: AUG 13, 2008 Released By : SCHWARTZ,VIKIE Date Released : AUG 13, 2008 ============================================================================= Packman Mail Message: ===================== $END TXT