$TXT Created by ROWE,KIM at LEXCSV.FO-BAYPINES.MED.VA.GOV (KIDS) on Wednesday, 10/15/03 at 13:30 ============================================================================= Run Date: OCT 16, 2003 Designation: LEX*2*26 Package : LEX - LEXICON UTILITY Priority: EMERGENCY Version : 2 SEQ #25 Status: Released Compliance Date: OCT 18, 2003 ============================================================================= Associated patches: (v)LEX*2*25 <<= must be installed BEFORE `LEX*2*26' (v)ICD*18*7 <<= must be installed BEFORE `LEX*2*26' Subject: ICD FY 2004 Update Category: - Routine - Data Dictionary - Other Description: ============ ********************************************************************** * * * This patch should be installed by Oct 17, 2003. * * * ********************************************************************** This patch contains the ICD update for FY 2004, effective Oct 1, 2003. The data for both LEX*2.0*26 (Lexicon ICD-9 data) and ICD*18.0*8 (file 80 and 80.1 ICD data) is contained in the accompanying global host file. This update affects the following files: LEX*2.0*26 757 MAJOR CONCEPT MAP 757.01 EXPRESSIONS 757.02 CODES 757.1 SEMANTIC MAP 757.9 CHANGE LOG 757.91 CHANGE FILE ICD*18.0*8 80 ICD DIAGNOSIS 80.1 ICD OPERATION/PROCEDURE Enhancements: ============= ICD*18.0*8 1. ICD FY 2004 Update A. ICD Diagnosis New ICD Diagnosis Codes 079.82, 255.10, 255.11, 255.12, 255.13, 255.14, 277.81, 277.82, 277.83, 277.84, 277.89, 282.41, 282.42, 282.49, 282.64, 282.68, 289.52, 289.81, 289.82, 289.89, 331.11, 331.19, 331.82, 348.30, 348.31, 348.39, 358.00, 358.01, 414.07, 458.21, 458.29, 480.3, 493.81, 493.82, 517.3, 530.20, 530.21, 530.85, 600.00, 600.01, 600.10, 600.11, 600.20, 600.21, 600.90, 600.91, 607.85, 674.50, 674.51, 674.52, 674.53, 674.54, 719.7, 728.87, 728.88, 752.81, 752.89, 766.21, 766.22, 767.11, 767.19, 779.83, 780.93, 780.94, 781.94, 785.52, 788.63, 790.21, 790.22, 790.29, 799.81, 799.89, 850.11, 850.12, 959.11, 959.12, 959.13, 959.14, 959.19, 996.57, E928.4, E928.5, V01.82, V04.81, V04.82, V04.89, V15.87, V25.03, V43.21, V43.22, V45.85, V53.90, V53.91, V53.99, V54.01, V54.02, V54.09, V58.63, V58.64, V58.65, V64.41, V64.42, V64.43, V65.11, V65.19, V65.46 Revised ICD Diagnosis Codes 282.60, 282.61, 282.62, 282.63, 282.69, 414.06, 491.20, 491.21, 493.00, 493.02, 493.10, 493.12, 493.20, 493.22, 493.90, 493.92, V06.1, V06.5 Deactivated ICD Diagnosis Codes 255.1, 277.8, 282.4, 289.8, 331.1, 348.3, 358.0, 458.2, 530.2, 600.0, 600.1, 600.2, 600.9, 719.70, 719.75, 719.76, 719.77, 719.78, 719.79, 752.8, 766.2, 767.1, 790.2, 799.8, 850.1, 959.1, V04.8, V43.2, V53.9, V54.0, V64.4, V65.1 B. ICD Procedures New ICD Procedure Codes 00.15, 37.51, 37.52, 37.53, 37.54, 68.31, 68.39, 81.62, 81.63, 81.64 Revised ICD Procedure Codes 37.33, 37.34, 39.79 Deactivated ICD Procedure Codes 37.5, 68.3 2. Added four missing E Codes (E922.4, E955.6, E968.6, and E985.6) which were missing from the ICD file since 1996. LEX*2.0*26 1. Updated Codes file to reflect ICD FY 2004 changes. 2. Added four missing E Codes (E922.4, E955.6, E968.6, and E985.6) which were missing from the Lexicon since 1996. 3. Modified expressions for Primary and Secondary Polycythemia. 4. Corrected display for Trichomonas Vaginalis. 5. Deleted expression Renal Insufficiency with the code for Renal Failure (585.). Previously inactivated the expression of Renal Insufficiency with this code in LEX*2.0*24, but Look-Up still returned expression because the parent concept was still active. (NOIS MOU-0903-32457) Associated NOIS: ================ MOU-0903-32457 Active code not found thru Lexicon search Routine Summary: ================ The second line now reads as follows: ;;2.0;LEXICON UTILITY;**[patch list]**;Sep 23, 1996 CHECK^XTSUMBLD results: Checksums Checksums Before After Routine Patch Patch Patch List (2nd Line) -------------------------------------------------------- LEX2026 Envir Chk 15160381 26 LEX2026P Post Install 3339115 26 LEXABC 15769227 15744221 4,25,26 LEXAR5 7814105 8097800 14,25,26 LEXSRC 2818957 3155624 7,25,26 LEXXGI 17148085 17545012 4,25,26 LEXXGI2 11783868 12107193 25,26 FTP Software Retrieval: ======================= Global Host File: LEX_2_26.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*26. It is recommended that this patch be installed during non-peak hours. This patch should take less than 10 minutes to install. Routine mapping is not recommended for the routines released in this patch. >>>>>>>>>>>>>>>>>>>>>>> IMPORTANT <<<<<<<<<<<<<<<<<<<<<<<<<< If you have installed LEX*2.0*26 into another account, and the Lexicon global ^LEX is translated into the current account, you may go directly to step 5 of the installation instructions. It is not necessary to install the data more than once per translation. >>>>>>> IMPORTANT <<<<<<<<<<<>>>>>>>>>> IMPORTANT <<<<<<<<< 2) 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. To kill the unsubscripted global ^LEXM: DSM K ^LEXM Cache The prevention of unsubscripted global kills is a system wide setting, but 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. 3) Install the data from the global host file LEX_2_26.GBL. This file contains the Lexicon Utility's import global ^LEXM. DSM Use ^%GTI and the input device LEX_2_26.GBL Cache/NT and Cache/VMS Cache v2.1.6 - Global Restore We recommend that the GUI Thin Client be used to restore the global. Be sure to select the VAH namespace in the "Global Utilities" window. Make sure that you select the global host file LEX_2_26.GBL (File / Open) before changing the file format. With the namespace and file selected, change the restore file format to VAX DSM. Cache v3.2 - Global Restore Using the Cache 3.2 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_26.GBL. Next, select "Import All" at the prompt "Do you wish to restore '^LEXM'," select "Yes." Using the GUI utilities will prevent an error when restoring a global saved under DSM (usually seen when using the CHUI %GI utility to restore a DSM global). The loading of the global should take from 1 to 2 minutes. 4) Turn journaling off for globals ^LEX, ^LEXT and ^LEXM. DSM Use ^%GLOMAN For the globals ^LEX, ^LEXT and ^LEXM Select "Change Journaling Capabilities" Select "D" for "Disabled" Cache/NT Cache v2.1.6 - Journaling We recommend using the GUI System Operations Utilities. Select the database where the globals ^LEX, ^LEXT and ^LEXM reside using the Databases tab (to find out where a global resides use the GUI global utility directory tab). Then select the menu item Action / Database / Global attributes. In the Attributes and Journaling window, click on the "Globals" button. Select the globals ^LEX, ^LEXT and ^LEXM (note the "All Globals" check box needs to be unmarked to select a specific global). Make sure the check box under the column heading "Journal" is unmarked for the ^LEX, ^LEXT and ^LEXM globals and then click "OK." Cache v3.2 - Journaling Using the Cache v3.2 Thin Client, right click on the Cache cube, then, select "Control Panel." Open the "Local Databases" folder, then open the folder where the ^LEX* globals reside. Right click ^LEX, select "Properties," and uncheck the "Journal global" box. Repeat for ^LEXT and ^LEXM globals. Cache/VMS It is not possible to disable journaling for individual files on Cache/VMS systems. Caution should be exercised with regard to the amount of journal space that may be required. 5) Set up user and IO variables (D ^XUP) for programmer access. 6) Distribution Load: Load the Distribution from the Packman Message using the Packman function "Install/Check Message." Environment Check: Only package components and system variables will be checked during the loading of the transport global. 7) KIDS Installation: Install the patch using the KIDS Installation Menu action "Install Package(s)" and the install name LEX*2.0*26. The KIDS installation should take less than a minute (with journaling off) depending on the number of users/jobs on the system. Environment Check: LEX*2.0*26 data exists (by global translation): If the data for LEX*2.0*26 has been installed and is translated into the current account, then only package components and system variables will be checked. LEX*2.0*26 data does not exist: If the data for LEX*2.0*26 can not be found (either in the current account or by translation) then the environment check routine will verify the import global ^LEXM by build namespace and global checksum. This is to insure that the correct import global is loaded and that all of the data contained in the import global arrived at your site during the FTP transfer. If you have inadvertently loaded the wrong import global or the global fails the checksum, the install will stop and you will need to kill ^LEXM and FTP another copy of the import global (see the section on FTP Software Retrieval and step 3 of the Installation Instructions). Respond "NO" at the "Want KIDS to INHIBIT LOGONs during the install? YES//" prompt. Respond "NO" at the "Want to DISABLE Schedule Options, Menu Options, and Protocols?" prompt. 8) Cleanup a) Check that the export global ^LEXM has been killed automatically. If it has not been automatically killed you will need to kill the "unsubscripted" import global ^LEXM to prevent import global checksum errors on future installations. (see step 2 for "unsubscripted" kills) b) If journaling was turned off in step 4 for the ^LEX and ^LEXT globals, turn journaling back on. DSM Same instructions as in step 4 except select "E" for "Enabled" Cache/NT and Cache/VMS Same instructions as in step 4 except make sure the check box under the column heading "Journal" is marked for the ^LEX and ^LEXT globals. c) Check that the routines LEX2026 and LEX2026P have been deleted automatically. If they have not been automatically deleted, delete routines LEX2026 and LEX2026P. These are the environment check and post-install routines. Routine Information: ==================== Routine Name: - LEXAR5 Routine Checksum: Routine Name: - LEXSRC Routine Checksum: Routine Name: - LEXXGI Routine Checksum: Routine Name: - LEXXGI2 Routine Checksum: Routine Name: - LEXABC Routine Checksum: ============================================================================= User Information: Entered By : ROWE,KIMBALL Date Entered : OCT 03, 2003 Completed By: ASKEW,DENEEN Date Completed: OCT 16, 2003 Released By : GIVENS,DALE S Date Released : OCT 16, 2003 ============================================================================= Packman Mail Message: ===================== $END TXT