ECXSURG ;ALB/JA,BIR/DMA,PTD-Surgery Extract for DSS ; 11/2/06 9:00am ;;3.0;DSS EXTRACTS;**1,11,8,13,25,24,33,39,41,42,46,50,71,84,92,99**;Dec 22, 1997;Build 2 BEG ;entry point from option D SETUP I ECFILE="" Q D ^ECXTRAC,^ECXKILL Q ; START ; S QFLG=0,ECED=ECED+.3,ECD=ECSD1 F S ECD=$O(^SRF("AC",ECD)),ECD0=0 Q:('ECD)!(ECD>ECED)!(QFLG) D .F S ECD0=$O(^SRF("AC",ECD,ECD0)) Q:'ECD0 D ..I $D(^SRF(ECD0,0)) S EC=^SRF(ECD0,0),ECXDFN=+$P(EC,U),ECXVISIT=$P(EC,U,15) D STUFF Q:QFLG Q ; STUFF ;gather data N J,X,Y,PP,DATA1,DATA2,DATAOP,ARR,ERR,SUB,MOD,ECXNONL,ECXSTOP,TIMEDIF N ECPRO,ECXORCT,ECXPTHA,ECXNPRFI,ECXPA,ECXPAPC,ECSRPC,ECATPC,ECSAPC S ECXDATE=ECD,ECXERR=0,ECXQ="" Q:'$$PATDEM^ECXUTL2(ECXDFN,ECXDATE,"1;2;3;5;") I ECXADMDT="" S ECXADD=ECXADMDT I ECXADMDT'="" S ECXADD=$$ECXDATE^ECXUTL(ECXADMDT,ECXYM) S EC0=^SRF(ECD0,0) S DATA1=$S($D(^SRF(ECD0,.1)):^(.1),1:"") S DATA2=$S($D(^SRF(ECD0,.2)):^(.2),1:"") ;S DATAOP=$S($D(^SRF(ECD0,"OP")):^("OP"),1:"") S DATAOP=$S($D(^SRO(136,ECD0,0)):^(0),1:"") S ECNO=$G(^SRF(ECD0,"NON")) ;get data S ECSR=$P(DATA1,U,4),(ECATNPI,ECSANPI,ECSRNPI)="",ECAT=$P(DATA1,U,13) ;-Time patient in OR room (Nurse Time) S ECXTM=$$ECXTIME^ECXUTL($P(DATA2,U,10)) S ECXDIV=$S($D(^SRF(ECD0,8)):^(8),1:ECINST) N ECXPDIV S ECXPDIV=$$RADDIV^ECXDEPT(ECXDIV) ;Production Division S ECSA=$P($G(^SRF(ECD0,.3)),U,4),ECO=$P(EC0,U,2) ;get principle anesthetist and person class DBIA #103 S ECXPA=$P($G(^SRF(ECD0,.3)),U,1) S ECXPAPC=$$PRVCLASS^ECXUTL(ECXPA,ECXDATE) S ECORTY=$P($G(^SRS(+ECO,2)),U),ECO=$P($G(^SRS(+ECO,0)),U) S ECSS=$P($G(^SRO(137.45,+$P(EC0,U,4),0)),U,2) S ECSS=$$RJ^XLFSTR($P($G(^DIC(45.3,+ECSS,0)),U),3,0) S:ECSS="000" ECSS="999" ;get classification information S (ECXAO,ECXHNC)="" I ECXVISIT'="" D .D VISIT^ECXSCX1(ECXDFN,ECXVISIT,.ECXVIST,.ECXERR) I ECXERR K ECXERR .S ECXAO=$G(ECXVIST("AO")),ECXHNC=$G(ECXVIST("HNC")) ; - Head and Neck Cancer Indicator S ECXHNCI=$$HNCI^ECXUTL4(ECXDFN) ;look for non-OR S (ECNT,ECNL,ECXDSSD,ECXNONL,ECXSTOP)="" I $P(ECNO,U)="Y" D .S ECSR=$P(ECNO,U,6),ECAT=$P(ECNO,U,7) .S ECXTM=$$ECXTIME^ECXUTL($P(ECNO,U,4)) .S A1=$P(ECNO,U,5),A2=$P(ECNO,U,4),TIME="##" D:(A1&A2) TIME S ECNT=TIME .S (ECXNONL,ECNL)=+$P(ECNO,U,2),ECNL=$P($G(^ECX(728.44,ECNL,0)),U,9) .S:ECNL="" ECNL="UNKNOWN" .; .;- Get DSS Stop Code to use in encounter number .S ECXSTOP=$P($G(^ECX(728.44,ECXNONL,0)),U,4) ; ;- If surgery cancelled/aborted quit and go to next record S ECCAN=$P($G(^SRF(ECD0,30)),U) I +ECCAN S ECCAN=$$CANC^ECXUTL4(ECNL,$P(DATA2,U,10)) ;on hold for ECXDSSD and ECXDSSP I $P($G(^SRF(ECD0,30)),U) Q ;get service of attending surgeon S ECATSV=$P($G(^DIC(49,+$G(^VA(200,+ECAT,5)),730)),U) ; ;get surgeon, attending and anesthesia super person classes S ECSRPC=$$PRVCLASS^ECXUTL(ECSR,ECXDATE) S ECATPC=$$PRVCLASS^ECXUTL(ECAT,ECXDATE) S ECSAPC=$$PRVCLASS^ECXUTL(ECSA,ECXDATE) ; ;add leading 2s for pointer to 200 S:ECAT ECAT="2"_ECAT S:ECSR ECSR="2"_ECSR S:ECSA ECSA="2"_ECSA ;add leading 2 to principle anesthetist IEN S:ECXPA ECXPA="2"_ECXPA ;anesthesia technique S ECANE="",PP="" I $D(^SRF(ECD0,6,0)) S ECXJ=0 D .F S ECXJ=$O(^SRF(ECD0,6,ECXJ)) Q:('ECXJ)!(ECANE]"") D ..S PP=$P($G(^(ECXJ,0)),U,3) S:PP="Y" ECANE=$P(^(0),U,1) .I ECANE="" S ECXJ=$O(^SRF(ECD0,6,0)) I ECXJ S ECANE=$P(^SRF(ECD0,6,ECXJ,0),U,1) ;get primary procedure ;ecode0=p^cpt code^^patient time^operation time^anesthesia time S ECPT=+$P(DATAOP,U,2),ECXCMOD="" K ARR,ERR D FIELD^DID(130,28,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D .K ARR,ERR D FIELD^DID(130,28,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR") .Q:$D(ERR("DIERR")) .S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0 .F S MOD=$O(^SRF(ECD0,SUB,MOD)) Q:MOD'>0 D ..S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";" S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD) S ECODE0="P"_U_U ;ECPT_U F J="10,12","2,3","1,4" D .N ECNTIME,ECSTIME,ECATIME .S A2=$P(DATA2,U,$P(J,",")),A1=$P(DATA2,U,$P(J,",",2)),TIME="##" .I (A1&A2)&(+J=10) D TIME S ECNTIME=TIME .I (A1&A2)&(+J=1) D TIME S ECATIME=TIME .I (A1&A2)&(+J=2) D ..; ..;-Operation Time (Surgeon Time) ..;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1) ..S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900 ..S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF) ..S TIME=$TR($J(TIMEDIF,4,0)," ") ..S:TIME<0 TIME="###" ..S:TIME ECSTIME=TIME .S ECODE0=ECODE0_U_TIME K TIME ; -Recovery Room Time S ECRR="" I $D(^SRF(ECD0,1.1)) D .S A1=$P(^(1.1),U,8),A2=$P(^(1.1),U,7),TIME="##" D:(A1&A2) TIME .S ECRR=TIME K TIME I ECNL]"" S $P(ECODE0,U,5)=ECNT ; ; -OR Clean Time in 15 min increments DBIA #103 S ECXORCT=($$FMDIFF^XLFDT($P($G(DATA2),U,14),$P($G(DATA2),U,13),2)/60)/15 ; -If no OR clean time recorded set it to 2 I ECXORCT'>0 S ECXORCT=2 ; ; -PT in hold area time in 15 min increments DBIA #103 I $P($G(DATA2),U,10),$P($G(DATA2),U,15) D .S ECXPTHA=($$FMDIFF^XLFDT($P($G(DATA2),U,10),$P($G(DATA2),U,15),2)/60)/15 .S CON=$P($G(^SRF(ECD0,"CON")),U) .I CON S ECXPTHA=ECXPTHA/2 .S ECXPTHA=$TR($J(ECXPTHA,3,0)," ") ; -If hold time is =<0 set it to "" S:$G(ECXPTHA)'>0 ECXPTHA="" ; ;- Observation Patient Indicator (yes/no) S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECXTS,ECNL) ; ;- set national patient record flag if exist D NPRF^ECXUTL5 ; ;- If no encounter number don't file record S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECXADMDT,ECXDATE,ECXTS,ECXOBS,ECHEAD,ECXSTOP,ECSS) Q:ECXENC="" ; D FILE ;get secondary procedures ;ecode0=s^cpt code S ECXJ=0 ;F S ECXJ=$O(^SRF(ECD0,13,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(2)),$P(^(2),U)]"" D F S ECXJ=$O(^SRO(136,ECD0,3,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(0)),$P(^(0),"^")]"" D .;S ECPT=$P(^SRF(ECD0,13,ECXJ,2),U),ECXCMOD="" . S ECPT=$P(^SRO(136,ECD0,3,ECXJ,0),"^"),ECXCMOD="" .K ARR,ERR .D FIELD^DID(130.16,4,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D ..K ARR,ERR ..D FIELD^DID(130.16,4,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR") ..Q:$D(ERR("DIERR")) ..S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0 ..F S MOD=$O(^SRF(ECD0,13,ECXJ,SUB,MOD)) Q:MOD'>0 S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";" .S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD) .S ECODE0="S"_U ;_ECPT .D FILE ;get prostheses ;ecode0=i^^^^^^prosthesis^old qty field (null) S ECXJ=0 F S ECXJ=$O(^SRF(ECD0,1,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)) D .S ECXP=+^SRF(ECD0,1,ECXJ,0),ECXQ=$P($G(^(1)),U,2) S:'ECXQ ECXQ=1 .S ECODE0="I"_U_U_U_U_U_U_ECXP_U_U .D FILE Q ; FILE ;file record ;node0 ;division^dfn^ssn^name^in/out (ECXA)^day^case #^ ;surg specialty^or room #^ ;surgeon^attending^anesthesia supervisor^anesthesia technique^ ;primary/secondary/prostheses^cpt^^pt time^op time^anes time^ ;prostheses^qty^^ ;movement number^treating specialty^cancel/abort (ECCAN)^time^or type^ ;attending's service^non-or dss id^recovery room time^^ ;primary care team^primary care provider^admission date ;node1 ;mpi^dss dept ECXDSSD^surgeon npi^attending npi^anes supervisor npi^ ;pc provider npi^pc prov person class^ ;assoc pc provider^assoc pc prov person class^assoc pc prov npi^ ;cpt&modifiers ECXCPT^dom ECXDOM^enrollment category ECXCAT^ ;enrollment status ECXSTAT^enrollment priority ECXPRIOR^ ;period of service ECXPOS^purple heart indicator ECXPHI^ ;observ pat ind ECXOBS^encounter num ECXENC^ao loc ECXAOL^ ;production division ECXPDIV^head & neck canc ind ECXHNCI^ ;ethnicity ECXETH^race1 ECXRC1^new quantity ECXQ^ ;^user enrollee ECXUESTA^patient type ECXPTYPE^combat vet elig ;ECXCVE^combat vet elig end date ECXCVEDT^enc cv eligible ECXCVENC ;or clean time ECXORCT^time pt in hold area ECXPTHA^national patient ;record flag ECXNPRFI^princ anesthetist ECXPA^surgeon per class ECSRPC ;node2 ;atten surgeon per class ECATPC^anesthesia super person class ECSAPC^ ;princ anesthetist PC ECXPAPC^emergency response indicator(FEMA) ECXERI^ ;agent orange indic ECXAO^head/neck cancer ECXHNC ; N DA,DIK,STR S EC7=$O(^ECX(ECFILE,999999999),-1),EC7=EC7+1 S ECODE=EC7_U_EC23_U_ECXDIV_U_ECXDFN_U_ECXSSN_U_ECXPNM_U_ECXA_U S ECODE=ECODE_$$ECXDATE^ECXUTL(ECXDATE,ECXYM)_U_ECD0_U_ECSS_U_ECO_U S ECODE=ECODE_ECSR_U_ECAT_U_ECSA_U_ECANE_U_ECODE0_U S STR=ECXMN_U_ECXTS_U_$S(ECCAN'="":ECCAN,1:"")_U_ECXTM_U_ECORTY_U S STR=STR_ECATSV_U_ECNL_U_ECRR_U_U_ECPTTM_U_ECPTPR_U_ECXADD_U S $P(ECODE,U,26,38)=STR S ECODE1=ECXMPI_U_ECXDSSD_U_ECSRNPI_U_ECATNPI_U_ECSANPI_U_ECPTNPI_U S ECODE1=ECODE1_ECCLAS_U_ECASPR_U_ECCLAS2_U_ECASNPI_U_ECXCPT_U_ECXDOM_U S ECODE1=ECODE1_ECXCAT_U_ECXSTAT_U_$S(ECXLOGIC<2005:ECXPRIOR,1:"")_U_ECXPOS_U_ECXPHI_U S ECODE1=ECODE1_ECXOBS_U_ECXENC_U_ECXAOL_U_ECXPDIV_U_ECXHNCI_U S ECODE1=ECODE1_ECXETH_U_ECXRC1_U_ECXQ_U I ECXLOGIC>2004 S ECODE1=ECODE1_U_ECXPRIOR_ECXSBGRP_U_ECXUESTA_U_ECXPTYPE_U_ECXCVE_U_ECXCVEDT_U_ECXCVENC_U_ECXORCT_U_ECXPTHA_U_ECXNPRFI I ECXLOGIC>2005 S ECODE1=ECODE1_U_ECXPA_U_ECSRPC_U,ECODE2=ECATPC_U_ECSAPC_U_ECXPAPC I ECXLOGIC>2006 S ECODE2=ECODE2_U_ECXERI_U_ECXAO_U_ECXHNC S ^ECX(ECFILE,EC7,0)=ECODE,^ECX(ECFILE,EC7,1)=ECODE1,^ECX(ECFILE,EC7,2)=ECODE2,ECRN=ECRN+1 S DA=EC7,DIK="^ECX("_ECFILE_"," D IX1^DIK K DIK,DA I $D(ZTQUEUED),$$S^%ZTLOAD S QFLG=1 ; TIME ; given date/time get increment ;A1=later, A2=earlier, TIME=difference N CON,TIMEDIF S CON=$P($G(^SRF(ECD0,"CON")),U) ; ;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1) S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900 S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF) I 'CON D .S TIME=$J($TR($J(TIMEDIF,4,0)," "),2,1) .S:TIME>"99.0" TIME="99.0" I CON D .S TIME=$J(($TR($J(TIMEDIF,4,0)," ")/2),2,1) .S:TIME>"99.5" TIME="99.5" S:TIME<0 TIME="###" Q ; SETUP ;Set required input for ECXTRAC S ECHEAD="SUR" D ECXDEF^ECXUTL2(ECHEAD,.ECPACK,.ECGRP,.ECFILE,.ECRTN,.ECPIECE,.ECVER) Q ; QUE ; entry point for the background requeuing handled by ECXTAUTO D SETUP,QUE^ECXTAUTO,^ECXKILL Q