| 1 | FHWTRN ; HISC/REL - Process Transfers ;3/17/92  14:39 | 
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| 2 | ;;5.5;DIETETICS;**4**;Jan 28, 2005;Build 32 | 
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| 3 | ;patch 4 - added alert if pt is transferred | 
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| 4 | S (FHWRNEW,FHWROLD)="" | 
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| 5 | S FHZ115="P"_DFN,FHWROLD="" D CHECK^FHOMDPA I FHDFN'="" D | 
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| 6 | .S:ADM FHWROLD=$P($G(^FHPT(FHDFN,"A",ADM,0)),U,8) | 
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| 7 | I FHOLD="" G T0 | 
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| 8 | ; Edit,Delete Transfers | 
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| 9 | I $P(FHOLD,"^",18)=$P(FHNEW,"^",18) G EX | 
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| 10 | S XT=$P(FHOLD,"^",18) | 
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| 11 | I "^1^2^3^"[("^"_XT_"^") D RET | 
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| 12 | I "^22^23^24^"[("^"_XT_"^") D PASS | 
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| 13 | T0 S XT=$P(FHNEW,"^",18) | 
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| 14 | I "^1^2^3^"[("^"_XT_"^") D PASS | 
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| 15 | I "^22^23^24^"[("^"_XT_"^") D RET | 
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| 16 | EX D WRD^FHWADM | 
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| 17 | G:'$G(FHDFN) KIL | 
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| 18 | S:ADM FHWRNEW=$P($G(^FHPT(FHDFN,"A",ADM,0)),U,8) | 
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| 19 | I FHWRNEW,(FHWROLD'=FHWRNEW) D XQAL  ;process alert for transfer | 
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| 20 | G KIL | 
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| 21 | PASS ; Place on Pass | 
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| 22 | S FHZ115="P"_DFN D CHECK^FHOMDPA I FHDFN="" Q | 
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| 23 | D SET Q:FHLD="P"  Q:'$D(^FHPT(FHDFN,"A",ADM)) | 
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| 24 | S FHOR="^^^^",FHLD="P",TYP="",D1=X1,D2="",D4=0,COM="" D STR^FHORD7 Q | 
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| 25 | RET ; Remove from Pass | 
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| 26 | D SET I FHLD'="P",FHLD'="X" Q | 
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| 27 | S X=^FHPT(FHDFN,"A",ADM,"DI",FHORD,0),D1=$P(X,"^",9),D2=$S(D1'>X1:X1,1:D1) | 
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| 28 | S $P(^FHPT(FHDFN,"A",ADM,"DI",FHORD,0),"^",10)=D2 | 
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| 29 | S A2=0 F KK=0:0 S KK=$O(^FHPT(FHDFN,"A",ADM,"AC",KK)) Q:KK<1!(KK>X1)  S A2=KK | 
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| 30 | Q:'A2  Q:$P(^FHPT(FHDFN,"A",ADM,"AC",A2,0),"^",2)'=FHORD | 
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| 31 | F K9=A2-.000001:0 S K9=$O(^FHPT(FHDFN,"A",ADM,"AC",K9)) Q:K9<1  I $P(^(K9,0),"^",2)=FHORD S D1=K9 D S0^FHORD3 | 
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| 32 | D UPD^FHORD7 Q | 
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| 33 | SET D NOW^%DTC S NOW=%,DT=%\1,FHPV=DUZ,FHWF=$S($D(^ORD(101)):1,1:0) | 
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| 34 | S X=$P($G(^DGPM(ADM,0)),"^",1),X1=$S(X'>NOW:NOW,1:X) | 
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| 35 | S A1=0,(FHOR,FHLD)="" F KK=0:0 S KK=$O(^FHPT(FHDFN,"A",ADM,"AC",KK)) Q:KK<1!(KK>X1)  S A1=KK | 
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| 36 | Q:'A1  S FHORD=$P(^FHPT(FHDFN,"A",ADM,"AC",A1,0),"^",2),X=^FHPT(FHDFN,"A",ADM,"DI",FHORD,0),FHOR=$P(X,"^",2,6),FHLD=$P(X,"^",7) Q | 
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| 37 | ; | 
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| 38 | XQAL ; Check a patient | 
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| 39 | S FHCLIN="" | 
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| 40 | D PATNAME^FHOMUTL I DFN="" Q | 
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| 41 | D CLR | 
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| 42 | D NOW^%DTC S NOW=%,FHEDT=$P(NOW,".") | 
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| 43 | S Y=^DPT(DFN,0),NAM=$P(Y,"^",1),SEX=$P(Y,"^",2),DOB=$P(Y,"^",3) | 
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| 44 | S AGE="" I DOB'="" S AGE=$E(NOW,1,3)-$E(DOB,1,3)-($E(NOW,4,7)<$E(DOB,4,7)) | 
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| 45 | S FHDUZ=$P($G(^FH(119.6,FHWRNEW,0)),U,2) | 
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| 46 | S:FHDUZ FHCLIN=$P($G(^VA(200,FHDUZ,0)),U,1) | 
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| 47 | P0 ; Calculate BMI | 
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| 48 | S GMRVSTR="WT" D EN6^GMRVUTL S WT=$P(X,"^",8),FHWTDT=$P(X,"^",1) | 
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| 49 | S GMRVSTR="HT" D EN6^GMRVUTL S HT=$P(X,"^",8),FHHTDT=$P(X,"^",1) | 
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| 50 | S FHGMDT=$S(FHWTDT>FHHTDT:FHWTDT,FHHTDT>FHWTDT:FHHTDT,1:FHWTDT) | 
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| 51 | S BMI="" I WT,HT S A2=HT*.0254,BMI=+$J(WT/2.2/(A2*A2),0,1) | 
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| 52 | I $G(BMI)=""!($G(BMI)'<18.5) G P1 | 
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| 53 | S MONTX="Monitor: BMI < 18.5",DTE=NOW | 
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| 54 | S N=$O(^FHPT(FHDFN,"A",ADM,"MO","B",MONTX,""),-1) | 
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| 55 | I N,'$P(^FHPT(FHDFN,"A",ADM,"MO",N,0),U,4) D FIL S MONIFN=N D TCK G P1 | 
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| 56 | I 'N,(FHGMDT>(FHEDT-7)) D FIL,TFIL G P1 | 
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| 57 | I 'N G P1 | 
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| 58 | ; Check if been 30 days | 
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| 59 | S LST=$P($G(^FHPT(FHDFN,"A",ADM,"MO",N,0)),"^",2) | 
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| 60 | S X=$$FMDIFF^XLFDT(DTE,LST,3) I X>30 D FIL,TFIL | 
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| 61 | P1 ; Check for current Tubefeeding | 
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| 62 | S TF=$P($G(^FHPT(FHDFN,"A",ADM,0)),"^",4) I 'TF G P2 | 
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| 63 | S MONTX="Monitor: On Tubefeeding",DTE=NOW | 
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| 64 | S N=$O(^FHPT(FHDFN,"A",ADM,"MO","B",MONTX,""),-1) | 
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| 65 | I N,'$P(^FHPT(FHDFN,"A",ADM,"MO",N,0),U,4) D FIL S MONIFN=N D TCK G P2 | 
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| 66 | I 'N D FIL,TFIL G P2 | 
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| 67 | ; Check if been 7 days | 
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| 68 | S LST=$P($G(^FHPT(FHDFN,"A",ADM,"MO",N,0)),"^",2) | 
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| 69 | S X=$$FMDIFF^XLFDT(DTE,LST,3) I X>7 D FIL,TFIL | 
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| 70 | P2 ; Check for Hyperals | 
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| 71 | S MONTX="",DTE=NOW | 
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| 72 | D PSS435^PSS55(DFN,,"FHIV") F DA=0:0 S DA=$O(^TMP($J,"FHIV",DA)) Q:DA<1  D | 
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| 73 | .S X0=$P($G(^TMP($J,"FHIV",DA,.02)),"^",2) I X0>NOW Q | 
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| 74 | .S MONTX="Monitor: On Hyperals" Q | 
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| 75 | I MONTX'="" D FIL,TFIL | 
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| 76 | P3 ; Check for Serum Albumin | 
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| 77 | S MONTX="",PX=6 D LAB^FHASM4 I $D(^TMP($J,"LRTST")) D | 
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| 78 | .F L=0:0 S L=$O(^TMP($J,"LRTST",L)) Q:L<1  S Y=$TR($P(^(L),"^",6)," ","") I Y'?1A.E,Y<2.8 S MONTX="Monitor: Albumin < 2.8",DTE=$P(^(L),"^",7) Q | 
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| 79 | .Q | 
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| 80 | I MONTX="" G P4 | 
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| 81 | S N=$O(^FHPT(FHDFN,"A",ADM,"MO","B",MONTX,""),-1) | 
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| 82 | I N,'$P(^FHPT(FHDFN,"A",ADM,"MO",N,0),U,4) D FIL S MONIFN=N D TCK G P4 | 
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| 83 | ;process new Albumin if old test date is within 7 days. | 
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| 84 | I 'N S X=$$FMDIFF^XLFDT(NOW,DTE) I X<8 D FIL,TFIL G P4 | 
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| 85 | I 'N G P4 | 
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| 86 | ; Check if same test | 
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| 87 | S LST=$P($G(^FHPT(FHDFN,"A",ADM,"MO",N,0)),"^",2) I DTE>LST D FIL,TFIL | 
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| 88 | P4 ; Check for NPO+Clr Liq > 3 days | 
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| 89 | S A1=NOW,DTE=NOW | 
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| 90 | F  D  Q:'A1 | 
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| 91 | .S A1=$O(^FHPT(FHDFN,"A",ADM,"AC",A1),-1) Q:'A1 | 
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| 92 | .S FHORD=$P($G(^FHPT(FHDFN,"A",ADM,"AC",A1,0)),"^",2) I 'FHORD S A1="" Q | 
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| 93 | .S FHOR=$G(^FHPT(FHDFN,"A",ADM,"DI",FHORD,0)) | 
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| 94 | .I $P(FHOR,"^",7)="N" S DTE=A1 Q | 
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| 95 | .I $P(FHOR,"^",2)=CLR S DTE=A1 Q | 
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| 96 | .S A1="" Q | 
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| 97 | I DTE'<NOW G P5 | 
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| 98 | S X=$$FMDIFF^XLFDT(NOW,DTE,3) G:X<3 P5 | 
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| 99 | S MONTX="Monitor: NPO+Clr Liq > 3 days",DTE=NOW | 
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| 100 | S N=$O(^FHPT(FHDFN,"A",ADM,"MO","B",MONTX,""),-1) | 
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| 101 | I N,'$P(^FHPT(FHDFN,"A",ADM,"MO",N,0),U,4) D FIL S MONIFN=N D TCK G P5 | 
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| 102 | I 'N D FIL,TFIL G P5 | 
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| 103 | ; Check if been 3 days | 
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| 104 | S LST=$P($G(^FHPT(FHDFN,"A",ADM,"MO",N,0)),"^",2) | 
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| 105 | S X=$$FMDIFF^XLFDT(NOW,LST,3) I X>3 D FIL,TFIL | 
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| 106 | P5 ; Done | 
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| 107 | Q | 
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| 108 | CLR ; Find Clear Liquid | 
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| 109 | S CLR=$O(^FH(111,"B","CLEAR LIQUID",0)) Q:CLR | 
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| 110 | S CLR=$O(^FH(111,"C","CLEAR LIQUID",0)) Q:CLR | 
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| 111 | S CLR=$O(^FH(111,"C","CLR LIQ",0)) Q:CLR | 
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| 112 | S CLR=$O(^FH(111,"C","CL",0)) Q:CLR | 
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| 113 | Q | 
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| 114 | FIL ; File Monitor | 
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| 115 | K XQA | 
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| 116 | D PATNAME^FHOMUTL | 
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| 117 | Q:(MONTX["BMI")&($P($G(^FH(119.6,FHWRNEW,1)),"^",5)'="Y") | 
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| 118 | Q:(MONTX["Tubefeed")&($P($G(^FH(119.6,FHWRNEW,1)),"^",6)'="Y") | 
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| 119 | Q:(MONTX["Hyperals")&($P($G(^FH(119.6,FHWRNEW,1)),"^",7)'="Y") | 
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| 120 | Q:(MONTX["Albumin")&($P($G(^FH(119.6,FHWRNEW,1)),"^",8)'="Y") | 
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| 121 | Q:(MONTX["NPO+Clr")&($P($G(^FH(119.6,FHWRNEW,1)),"^",9)'="Y") | 
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| 122 | K XQA,XQAMSG,XQAOPT,XQAROU | 
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| 123 | S XQAID="FH,"_$J_","_$H | 
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| 124 | S XQAMSG=$E(FHPTNM,1,9)_" ("_$E(FHPTNM,1,1)_$P(FHSSN,"-",3)_"): " | 
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| 125 | S XQAOPT="FHCTF2",XQAMSG=XQAMSG_"  "_MONTX_" "_$E(DTE,4,5)_"/"_$E(DTE,6,7)_"/"_$E(DTE,2,3)_"    Clinician: "_FHCLIN | 
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| 126 | F A=0:0 S A=$O(^FH(119.6,FHWRNEW,2,A)) Q:A'>0  S TK=$P($G(^FH(119.6,FHWRNEW,2,A,0)),U,1),XQA(TK)="" | 
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| 127 | I '$D(XQA(FHDUZ)) S XQA(FHDUZ)="" | 
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| 128 | D SETUP^XQALERT | 
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| 129 | Q | 
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| 130 | TFIL ;File patient info | 
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| 131 | L +^FHPT(FHDFN,"A",ADM,"MO",0) | 
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| 132 | I '$D(^FHPT(FHDFN,"A",ADM,"MO",0)) S ^FHPT(FHDFN,"A",ADM,"MO",0)="^115.11^^" | 
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| 133 | L -^FHPT(FHDFN,"A",ADM,"MO",0) | 
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| 134 | K DIC,DD,DO,DINUM S DIC="^FHPT(FHDFN,""A"",ADM,""MO"",",DIC(0)="L",DA(1)=ADM,DA(2)=FHDFN,DLAYGO=115,X=MONTX D FILE^DICN K DIC,DLAYGO | 
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| 135 | Q:Y<1  S MONIFN=+Y | 
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| 136 | S $P(^FHPT(FHDFN,"A",ADM,"MO",MONIFN,0),"^",2)=DTE,^FHPT(FHDFN,"A",ADM,"MO","AC",DTE,MONIFN)="" | 
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| 137 | TCK S FHTF=DTE_"^M^"_MONTX_"^"_DFN_"^"_ADM_"^"_MONIFN  ;set tickler for a clinician | 
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| 138 | D:FHDUZ FILE^FHCTF2 | 
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| 139 | Q | 
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| 140 | ; | 
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| 141 | KIL K %,A1,A2,COM,D1,D2,D4,FHDU,FHLD,FHOR,FHPV,FHX1,FHX2,FHX3,K,K9,KK,NOW,FHORD,TYP,X,X1,X2,X9 | 
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| 142 | K FHEDT,FHGMDT,FHWTDT,FHHTDT Q | 
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